Document Detail


Labor induction after fetal death. A retrospective analysis.
MedLine Citation:
PMID:  11838305     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To describe the delivery outcomes in patients with stillborn infants after labor induction versus spontaneous onset of labor. STUDY DESIGN: A retrospective chart review was performed of singleton pregnancies complicated by fetal death over a three-year period when awaiting spontaneous onset of labor was a common practice. Exclusion criteria were prior multiple cesarean deliveries, placenta previa, preeclampsia or suspected abruptio placentae. Outcome measures included time spent in the labor and delivery unit and rates of maternal hemorrhagic morbidity and endomyometritis. RESULTS: Two hundred eight patients, 100 patients undergoing labor induction and 108 with spontaneous onset of labor, met the study criteria. Patients delivering after induction spent a longer time in the labor and delivery unit (13.7 versus 4.4 hours). The endomyometritis rate was higher in the spontaneous labor group (6% versus 1%). There were no differences in the frequency of postpartum hemorrhage, retained placenta or need for blood transfusion. CONCLUSION: Induction following diagnosis of fetal death is safe and may reduce maternal infectious morbidity.
Authors:
Sharon M Salamat; Helain J Landy; Mary J O'Sullivan
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  47     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2002-02-12     Completed Date:  2002-07-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  23-6     Citation Subset:  IM    
Affiliation:
Division of Maternal-Fetal Medicine (R-136), Department of Obstetrics and Gynecology, University of Miami School of Medicine, 1611 NW 12th Avenue, Miami, FL 33136, USA. ssalamat@med.miami.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Delivery, Obstetric / methods
Female
Fetal Death*
Follow-Up Studies
Humans
Labor, Induced / methods*,  statistics & numerical data*
Obstetric Labor Complications / diagnosis,  epidemiology
Pregnancy
Probability
Retrospective Studies
Risk Assessment

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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