BACKGROUND/AIMS: To identify risk factors for cesarean delivery in patients with an unfavorable cervix undergoing an indicated induction of labor. METHODS: This is a secondary analysis of combined data from three prospective randomized trials comparing cervical ripening methods in singleton pregnancies with an unfavorable cervix seeking to identify risk factors for cesarean delivery. RESULTS: Nine hundred and five women underwent an induction of labor for a variety of indications. Gestational age ranged from 27.0-42.8 weeks (mean of 37.8 weeks) and initial Bishop's score from 0-6 (mean 2.5). There were 613 vaginal deliveries (67.7%) and 292 cesarean deliveries (32.2%). Factors associated with an increased risk for cesarean delivery included nulliparous status, Bishop's score <or=1, body mass index >40 and diabetes mellitus. CONCLUSIONS: Risk factors for cesarean delivery in women undergoing an indicated induction include a low Bishop's score, high BMI, nulliparity and diabetes.
BACKGROUND/AIMS: To identify risk factors for cesarean delivery in patients with an unfavorable cervix undergoing an indicated induction of labor. METHODS: This is a secondary analysis of combined data from three prospective randomized trials comparing cervical ripening methods in singleton pregnancies with an unfavorable cervix seeking to identify risk factors for cesarean delivery. RESULTS: Nine hundred and five women underwent an induction of labor for a variety of indications. Gestational age ranged from 27.0-42.8 weeks (mean of 37.8 weeks) and initial Bishop's score from 0-6 (mean 2.5). There were 613 vaginal deliveries (67.7%) and 292 cesarean deliveries (32.2%). Factors associated with an increased risk for cesarean delivery included nulliparous status, Bishop's score <or=1, body mass index >40 and diabetes mellitus. CONCLUSIONS: Risk factors for cesarean delivery in women undergoing an indicated induction include a low Bishop's score, high BMI, nulliparity and diabetes.
Authors: Valery A Danilack; Jennifer A Hutcheon; Elizabeth W Triche; David D Dore; Janet H Muri; Maureen G Phipps; David A Savitz Journal: J Womens Health (Larchmt) Date: 2019-10-29 Impact factor: 2.681
Authors: Tove Wallstrom; Hans Jarnbert-Pettersson; David Stenson; Helena Akerud; Elisabeth Darj; Kristina Gemzell-Danielsson; Eva Wiberg-Itzel Journal: Biomed Res Int Date: 2017-09-18 Impact factor: 3.411