The Effect of Maternal Obesity on the Rate of Failed Induction of Labor

Wolfe, Katherine; Rossi, Ronald R.; Warshak, Carri R.

doi:10.1097/01.aoa.0000414075.05312.64

Cited by 41 publications

(69 citation statements)

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“…Dans la litté rature, le taux de DT augmente parallè lement à l'augmentation de l'IMC [3,14,19] et le taux d'é chec de DT est plus important chez l'obè se et la primipare [9,20]. Chez les femmes obè ses, plus encore que dans la population gé né rale, les dé cisions de dé clenchement doivent être justifié es.…”

Section: Discussionunclassified

Facteurs prédictifs d’échec de l’intention de voie basse chez la primipare obèse

Carassou-Maillan¹,

Mulliez²,

Curinier³

et al. 2014

Gynécologie Obstétrique & Fertilité

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Section: Discussionunclassified

Facteurs prédictifs d’échec de l’intention de voie basse chez la primipare obèse

Carassou-Maillan¹,

Mulliez²,

Curinier³

et al. 2014

Gynécologie Obstétrique & Fertilité

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“…Caesarean section is associated with an increased morbidity in obese women [65,72]. In the case of an emergency caesarean section, delays from decision to delivery may occur due to longer time for patient transport and set-up, establishment of anaesthesia and longer operative time, including incision-to-delivery time [66,72,73].…”

Section: Obesity and Caesarean Sectionmentioning

confidence: 99%

“…In the case of an emergency caesarean section, delays from decision to delivery may occur due to longer time for patient transport and set-up, establishment of anaesthesia and longer operative time, including incision-to-delivery time [66,72,73]. Thomas et al [74] reviewed 17,780 emergency caesarean sections performed in 2000 in England and Wales.…”

Section: Obesity and Caesarean Sectionmentioning

confidence: 99%

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Obesity in pregnancy

Lim

Mahmood

2015

Best Practice & Research Clinical Obstetrics & Gynaecol

141

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“…The most common complication is failed induction leading to caesarean section which has been estimated to occur in 17% of inductions (Wolfe et al, 2011). There is also a 5% risk of excessive uterine activity, known as tachysystole, which can reduce placental blood flow resulting in fetal heart rate abnormalities and eventual fetal hypoxia if untreated (Thomas et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Does a policy of earlier induction affect labour outcomes in women induced for postmaturity? A retrospective analysis in a tertiary hospital in the North of England

Proctor

Marshall

2017

Midwifery

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Cite this article as: Anna Proctor and Paul Marshall, Does a policy of earlier induction affect labour outcomes in women induced for postmaturity? A retrospective analysis in a tertiary hospital in the North of England, Midwifery, http://dx.doi.org/10. 1016/j.midw.2017.04.009 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. To investigate whether a change in the management of postmature pregnancy to earlier induction affects the length of labour and the induction process. Secondly, to assess the feasibility of the research process to inform a future larger study. Design:A change in management of postmature pregnancy in an NHS hospital in October 2013, from induction at 42 weeks gestation to induction between 41-42 weeks, provided an opportunity to conduct a retrospective analysis. Pre-existing data from the maternity database and casenotes were collected and primary outcomes analysed using the Mann-Whitney test and the Hodges-Lehman confidence interval for differences in medians. Setting:A large city based tertiary referral hospital in the North of England. 2 Participants:125 women induced before the change in policy were compared with 309 women induced after the change. Measurements:Primary outcomes were length of 1 st and 2 nd stage of labour, overall length of labour, length of induction to established labour and length of induction to birth. Findings:The median overall length of labour for women induced at 42 weeks was 6.5 hours, while for women induced at 41-42 weeks this was 5.2 hours. The difference was not statistically significant (p = 0.15, 95% CI for median difference -0.27 to 1.93 hours) with a small effect size (Pearson's r = -0.08). The median length of induction to birth was 13.6 hours for women induced at 42 weeks and 16.5 hours for women induced at 41-42 weeks. This difference was also not statistically significant (p = 0.14, 95% CI for median difference -7.25 to 1.20 hours) with a small effect size (Pearson's r = -0.13). Key conclusions and implications for practice:This study demonstrated no statistically significant differences in length of labour and induction following a change in the management of postmature pregnancy to earlier induction. A large study is needed to establish definitively the effects of earlier induction on labour outcomes.

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The Effect of Maternal Obesity on the Rate of Failed Induction of Labor

Cited by 41 publications

References 0 publications

Facteurs prédictifs d’échec de l’intention de voie basse chez la primipare obèse

Facteurs prédictifs d’échec de l’intention de voie basse chez la primipare obèse

Obesity in pregnancy

Does a policy of earlier induction affect labour outcomes in women induced for postmaturity? A retrospective analysis in a tertiary hospital in the North of England

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