Induction of labor: An integrated review

Bramadat, Ina J.

doi:10.1080/07399339409516105

Cited by 19 publications

(8 citation statements)

References 22 publications

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“…Rates of induction of labour ranging from 10% to 30% have been reported, with wide variation between countries and institutions 1 , 2 . The rationale for such high frequencies of intervention has been questioned 3 , 4 . An increase in the proportion of women undergoing induction of labour was observed in our institution (from 21% in 1990 to 30% in 1995).…”

Section: Introductionmentioning

confidence: 75%

Risks of induction of labour in uncomplicated term pregnancies

Boulvain

Marcoux

Bureau

et al. 2001

Paediatric Perinatal Epid

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Our objective was to evaluate the risks of maternal and perinatal morbidity associated with induction of labour in uncomplicated term pregnancies. We conducted a retrospective cohort study including 7,430 women, not referred from another institution, with a single baby in vertex presentation, and delivering between 38 and 40 weeks of pregnancy. Among these women, 3,546 were excluded for prelabour pregnancy complications. Relative risks (RR), adjusted for parity, were computed to compare 3,353 women who went into labour spontaneously with 531 women whose labour was induced. Induction of labour was found to be associated with a higher risk of caesarean section [RR = 2.4, 95% CI 1.8, 3.4]. Use of non-epidural [RR = 1.5, 95% CI 1.2, 1.8] and of epidural analgesia [RR = 1.4, 95% CI 1.1, 1.7] was more frequent after labour induction. Resuscitation [RR = 1.2, 95% CI 1.0, 1.5], admission to the intensive care unit [RR = 1.6, 95% CI 1.0, 2.4] and phototherapy [RR = 1.3, 95% CI 1.0, 1.6] were more frequent after induction of labour. Results were similar when controlling simultaneously for parity, maternal age, gestational age, year of delivery, birthweight and the physician in charge of delivery in a logistic regression analysis. The results of this study suggests that induction of labour is associated with a higher risk of caesarean section and of some perinatal adverse outcomes. Induction of labour should be reserved for cases where maternal and perinatal benefits outweigh the risk of these complications.

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Section: Introductionmentioning

confidence: 75%

Risks of induction of labour in uncomplicated term pregnancies

Boulvain

Marcoux

Bureau

et al. 2001

Paediatric Perinatal Epid

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“…Induction of labor increases the risk of medical interventions, such as EDA, oxytocin augmentation, episiotomy, vacuum extraction, and possibly cesarean delivery. The induced labor is often prolonged, and may result in an emergency cesarean delivery, which is a traumatic occurrence (27).…”

Section: Discussionmentioning

confidence: 99%

Emergency cesarean delivery in induction of labor: an evaluation of risk factors

Cnattingius

Höglund

Kieler

2005

Acta Obstet Gynecol Scand

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“…5,6 While the research literature 7 debates expectant management versus elective induction, numerous systematic reviews all conclude that perinatal risks increase after 42 weeks, especially for the baby and that induction at 41-42 weeks reduces the incidence of stillbirth and caesarean delivery rates without increasing adverse outcomes. [8][9][10][11] Since the early 1990s the induction rate has been steadily increasing in most western countries. In New South Wales, Australia the rate of induction has risen from 17.9% in 1990 to 24.7% in 2006.…”

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confidence: 99%