| Complications of labor induction among multiparous women in a community-based hospital system. | |
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MedLine Citation:
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PMID: 17826404 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The purpose of this study was to examine complications of labor induction compared to spontaneous labor in multiparas. STUDY DESIGN: This was a retrospective cohort study of multiparous women with live, singleton pregnancies at term, who had no contraindications to labor or labor induction. Cesarean delivery was the primary outcome. RESULTS: Of the study subjects, 7208 experienced spontaneous labor, 2190 underwent labor induction with oxytocin, and 239 underwent labor induction requiring cervical ripening agents. Oxytocin-induced multiparas were 37% more likely to require cesarean compared to those with spontaneous labor (OR, 1.37; 95% CI, 1.10-1.71) and nearly 3 times more likely to undergo cesarean when cervical ripening agents were used (OR, 2.82; 95% CI, 1.84-4.53). Women requiring cervical ripening were also 10 times more likely to spend more than 12 hours in labor than those with spontaneous labor. CONCLUSION: Multiparas undergoing labor induction are at increased risk for obstetric complications compared to spontaneous labor. |
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Authors:
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Leah Battista; Judith H Chung; David C Lagrew; Deborah A Wing |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 197 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2007-09-10 Completed Date: 2007-09-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 241.e1-7; discussion 322-3, e1-4 Citation Subset: AIM; IM |
Affiliation:
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Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of California, Irvine, School of Medicine, Orange, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cervical Ripening / drug effects Cesarean Section Female Hospitals, Community Humans Infant, Newborn Labor, Induced / adverse effects*, methods Labor, Obstetric* Male Oxytocics / pharmacology, therapeutic use* Oxytocin / pharmacology, therapeutic use* Parity Pregnancy Pregnancy Outcome Reproductive Control Agents / therapeutic use Retrospective Studies |
| Chemical | |
Reg. No./Substance:
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0/Oxytocics; 0/Reproductive Control Agents; 50-56-6/Oxytocin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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