| Indications for induction of labour: a best-evidence review. | |
| | |
MedLine Citation:
|
PMID: 19191776 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Rates of labour induction are increasing. OBJECTIVES: To review the evidence supporting indications for induction. SEARCH STRATEGY: We listed indications for labour induction and then reviewed the evidence. We searched MEDLINE and the Cochrane Library between 1980 and April 2008 using several terms and combinations, including induction of labour, premature rupture of membranes, post-term pregnancy, preterm prelabour rupture of membranes (PROM), multiple gestation, suspected macrosomia, diabetes, gestational diabetes mellitus, cardiac disease, fetal anomalies, systemic lupus erythematosis, oligohydramnios, alloimmunization, rhesus disease, intrahepatic cholestasis of pregnancy (IHCP), and intrauterine growth restriction (IUGR). We performed a review of the literature supporting each indication. SELECTION CRITERIA: We identified 1387 abstracts and reviewed 418 full text articles. We preferentially included high-quality systematic reviews or large randomised trials. Where no such studies existed, we included the best evidence available from smaller randomised trials and observational studies. MAIN RESULTS: We included 34 full text articles. For each indication, we assigned levels of evidence and grades of recommendation based upon the GRADE system. Recommendations for induction of labour for post-term gestation, PROM at term, and premature rupture of membranes near term with pulmonary maturity are supported by the evidence. Induction for IUGR before term reduces intrauterine fetal death, but increases caesarean deliveries and neonatal deaths. Evidence is insufficient to support induction for women with insulin-requiring diabetes, twin gestation, fetal macrosomia, oligohydramnios, cholestasis of pregnancy, maternal cardiac disease and fetal gastroschisis. AUTHORS' CONCLUSIONS: Research is needed to determine risks and benefits of induction for many commonly advocated clinical indications. |
| | |
Authors:
|
E Mozurkewich; J Chilimigras; E Koepke; K Keeton; V J King |
Related Documents
:
|
283786 - Compound presentation following external version. 10796096 - Tocolysis for preventing fetal distress in second stage of labour. 11214946 - At term pregnancies in transfusion-dependent beta-thalassemic women. 3196 - The effect of parturition on amniotic fluid lecithin concentration. 17353686 - Screening for aneuploidy in first and second trimesters: is there an optimal paradigm? 8029256 - Cocaine alters the onset and maintenance of maternal behavior in lactating rats. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't; Review Date: 2009-02-04 |
Journal Detail:
|
Title: BJOG : an international journal of obstetrics and gynaecology Volume: 116 ISSN: 1471-0528 ISO Abbreviation: BJOG Publication Date: 2009 Apr |
Date Detail:
|
Created Date: 2009-03-20 Completed Date: 2009-05-21 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100935741 Medline TA: BJOG Country: England |
Other Details:
|
Languages: eng Pagination: 626-36 Citation Subset: AIM; IM |
Affiliation:
|
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA. mozurk@umich.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Female Humans Labor, Induced* Obstetric Labor Complications Patient Selection* Pregnancy Pregnancy Complications* Randomized Controlled Trials as Topic Review Literature as Topic Risk Assessment |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Functional endoscopic sinus surgery improved asthma symptoms as well as PEFR and olfaction in patien...
Next Document: Occurrence of placental abruption in relatives.