Intervention Rates after Elective Induction of Labor Compared to Labor with a Spontaneous Onset

Abstract

Introduction: Elective induction of labor has become a widely used procedure in obstetrics. A number of studies have shown an increased incidence of operative deliveries. The objective of this study was to evaluate the rate of interventions in our hospital, including operative delivery. Methods: A matched cohort study in which labor of 122 electively induced women and 122 women with labor with a spontaneous onset were analyzed retrospectively. These women were matched for parity and gestational age. Results: Pain relief, fetal scalp blood sampling and operative deliveries were recorded more frequently in the electively induced labor group. Cesarean delivery was found in 15% of women with induced labor, and in 1% of labors with a spontaneous onset (relative risk 18 (95% CI 2.4–132.7)). No differences were found in neonatal outcomes. Conclusions: Elective induction of labor leads to increased intervention rates during labor. The rate of cesarean delivery is high, particular in nulliparous women and multiparous women without a previous vaginal birth.

Elective induction versus spontaneous labour in Latin America

“…This finding corroborates reports from various other authors. 10,13,24,33 In the current study, elective induction did not show a significant association with low birth weight. Finally, elective induction in this study was associated with late initiation of breastfeeding.…”

Práticas obstétricas e resultados maternos e neonatais: análise fatorial de correspondência múltipla em dois centros de parto normal

“…A maior frequência de intervenções e procedimentos de indução ao parto podem estar relacionadas ao aumento das taxas de parto cesárea (18) . Em um estudo de coorte realizado com 122 mulheres que tiveram indução eletiva e 122 com evolução espontânea do parto, concluíram que o aumento das intervenções, como infusão venosa, administração de analgésicos, uso de ocitocina e amniotomia, elevaram as taxas de cesárea (18) .…”

“…Em um estudo de coorte realizado com 122 mulheres que tiveram indução eletiva e 122 com evolução espontânea do parto, concluíram que o aumento das intervenções, como infusão venosa, administração de analgésicos, uso de ocitocina e amniotomia, elevaram as taxas de cesárea (18) .…”

“…Em um estudo sobre os tipos de parto e seus impactos na mortalidade neonatal, não foi constatada a associação com o aumento das taxas de cesárea, entretanto houve uma relação direta com a qualidade do atendimento neonatal (18)(19)(20) . Outros estudos também confirmam que, a ocorrência de Apgar baixo (0-6) não está associada ao tipo de parto, mas com o atendimento neonatal prestado e com as condutas realizadas durante o nascimento (21)(22) .…”

Induction of Labour; Comparison of Outcome of Planned Induction Versus Expectant Management in Gestational Hypertension Between 36 to 40 Weeks

“…10,11 Many studies have favored induction and have concluded that it is associated with fewer caesarean rates. 12,13 In this study we compared the induction of labour with expectant management of labour in women with mild PIH.…”