Risk Factors for Cesarean Delivery following Labor Induction in Multiparous Women

Objective. To identify potential risk factors for cesarean delivery following labor induction in multiparous women at term. Methods. We conducted a retrospective case-control study. Cases were parous women in whom the induction of labor had resulted in a cesarean delivery. For each case, we used the...

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Main Authors: Corine J. Verhoeven, Cedric T. van Uytrecht, Martina M. Porath, Ben Willem J. Mol
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Pregnancy
Online Access:http://dx.doi.org/10.1155/2013/820892
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author Corine J. Verhoeven
Cedric T. van Uytrecht
Martina M. Porath
Ben Willem J. Mol
author_facet Corine J. Verhoeven
Cedric T. van Uytrecht
Martina M. Porath
Ben Willem J. Mol
author_sort Corine J. Verhoeven
collection DOAJ
description Objective. To identify potential risk factors for cesarean delivery following labor induction in multiparous women at term. Methods. We conducted a retrospective case-control study. Cases were parous women in whom the induction of labor had resulted in a cesarean delivery. For each case, we used the data of two successful inductions as controls. Successful induction was defined as a vaginal delivery after the induction of labor. The study was limited to term singleton pregnancies with a child in cephalic position. Results. Between 1995 and 2010, labor was induced in 2548 parous women, of whom 80 had a cesarean delivery (3%). These 80 cases were compared to the data of 160 parous women with a successful induction of labor. In the multivariate analysis history of preterm delivery (odds ratio (OR) 5.3 (95% CI 1.1 to 25)), maternal height (OR 0.87 (95% CI 0.80 to 0.95)) and dilatation at the start of induction (OR 0.43 (95% CI 0.19 to 0.98)) were associated with failed induction. Conclusion. In multiparous women, the risk of cesarean delivery following labor induction increases with previous preterm delivery, short maternal height, and limited dilatation at the start of induction.
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institution Kabale University
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spelling doaj-art-23a82203ac6d45099b35c7acf09079d22025-02-03T05:53:04ZengWileyJournal of Pregnancy2090-27272090-27352013-01-01201310.1155/2013/820892820892Risk Factors for Cesarean Delivery following Labor Induction in Multiparous WomenCorine J. Verhoeven0Cedric T. van Uytrecht1Martina M. Porath2Ben Willem J. Mol3Department of Obstetrics & Gynecology, Máxima Medical Centre, P.O. Box 7777, 5500 MB Veldhoven, The NetherlandsDepartment of Obstetrics & Gynecology, Máxima Medical Centre, P.O. Box 7777, 5500 MB Veldhoven, The NetherlandsDepartment of Obstetrics & Gynecology, Máxima Medical Centre, P.O. Box 7777, 5500 MB Veldhoven, The NetherlandsDepartment of Obstetrics & Gynecology, Máxima Medical Centre, P.O. Box 7777, 5500 MB Veldhoven, The NetherlandsObjective. To identify potential risk factors for cesarean delivery following labor induction in multiparous women at term. Methods. We conducted a retrospective case-control study. Cases were parous women in whom the induction of labor had resulted in a cesarean delivery. For each case, we used the data of two successful inductions as controls. Successful induction was defined as a vaginal delivery after the induction of labor. The study was limited to term singleton pregnancies with a child in cephalic position. Results. Between 1995 and 2010, labor was induced in 2548 parous women, of whom 80 had a cesarean delivery (3%). These 80 cases were compared to the data of 160 parous women with a successful induction of labor. In the multivariate analysis history of preterm delivery (odds ratio (OR) 5.3 (95% CI 1.1 to 25)), maternal height (OR 0.87 (95% CI 0.80 to 0.95)) and dilatation at the start of induction (OR 0.43 (95% CI 0.19 to 0.98)) were associated with failed induction. Conclusion. In multiparous women, the risk of cesarean delivery following labor induction increases with previous preterm delivery, short maternal height, and limited dilatation at the start of induction.http://dx.doi.org/10.1155/2013/820892
spellingShingle Corine J. Verhoeven
Cedric T. van Uytrecht
Martina M. Porath
Ben Willem J. Mol
Risk Factors for Cesarean Delivery following Labor Induction in Multiparous Women
Journal of Pregnancy
title Risk Factors for Cesarean Delivery following Labor Induction in Multiparous Women
title_full Risk Factors for Cesarean Delivery following Labor Induction in Multiparous Women
title_fullStr Risk Factors for Cesarean Delivery following Labor Induction in Multiparous Women
title_full_unstemmed Risk Factors for Cesarean Delivery following Labor Induction in Multiparous Women
title_short Risk Factors for Cesarean Delivery following Labor Induction in Multiparous Women
title_sort risk factors for cesarean delivery following labor induction in multiparous women
url http://dx.doi.org/10.1155/2013/820892
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