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.
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.
Authors: Gláucia Virgínia Guerra; José Guilherme Cecatti; João Paulo Souza; Aníbal Faúndes; Sirlei Siani Morais; Ahmet Metin Gülmezoglu; Renato Passini; Mary Angela Parpinelli; Guillermo Carroli Journal: Bull World Health Organ Date: 2011-07-05 Impact factor: 9.408
Authors: James M Nicholson; Aaron B Caughey; Morghan H Stenson; Peter Cronholm; Lisa Kellar; Ian Bennett; Katie Margo; Joseph Stratton Journal: Am J Obstet Gynecol Date: 2009-03 Impact factor: 8.661
Authors: Mieke L G Ten Eikelder; Femke Neervoort; Katrien Oude Rengerink; Gert J van Baaren; Marta Jozwiak; Jan-Willem de Leeuw; Irene de Graaf; Maria G van Pampus; Maureen Franssen; Martijn Oudijk; Paulien van der Salm; Mallory Woiski; Paula Jm Pernet; A Hanneke Feitsma; Huib van Vliet; Martina Porath; Frans Roumen; Erik van Beek; Hans Versendaal; Marion Heres; Ben Willem J Mol; Kitty W M Bloemenkamp Journal: BMC Pregnancy Childbirth Date: 2013-03-19 Impact factor: 3.007