Abstract | OBJECTIVES: DESIGN: Retrospective study. SETTING: Helsinki University Hospital. SAMPLE: 553 women with uncomplicated prolonged pregnancies between January 2011 and January 2012, divided into 303 women (54.8%) with Foley catheter induction and 250 (45.2%) with spontaneous labor. METHODS: Maternal and neonatal characteristics of women with uncomplicated singleton pregnancy of ≥41(+5) weeks of gestation were analyzed. MAIN OUTCOME MEASURES: Cesarean delivery rates, maternal and neonatal morbidity. RESULTS: The cesarean delivery rate was 30.7% (n = 93/303) in women with labor induction and 4.8% (12/250) in women with spontaneous onset of labor (p < 0.001). The cesarean delivery rate was 37.3% (91/244) among nulliparous women with labor induction and 8.7% (11/126) among women with spontaneous labor, a sixfold increased risk (odds ratio 6.2). Among parous women, cesarean section rates were low and not significantly different (3.4% vs. 0.8%, p = 0.2). There were no differences in maternal intrapartum or postpartum infection rates or adverse neonatal outcomes between the groups. CONCLUSIONS:
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Authors | Heidi Kruit, Oskari Heikinheimo, Veli-Matti Ulander, Ansa Aitokallio-Tallberg, Irmeli Nupponen, Jorma Paavonen, Leena Rahkonen |
Journal | Acta obstetricia et gynecologica Scandinavica
(Acta Obstet Gynecol Scand)
Vol. 94
Issue 6
Pg. 608-14
(Jun 2015)
ISSN: 1600-0412 [Electronic] United States |
PMID | 25761517
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | © 2015 Nordic Federation of Societies of Obstetrics and Gynecology. |
Topics |
- Adult
- Cesarean Section
(statistics & numerical data)
- Female
- Finland
- Humans
- Infant, Newborn
- Labor, Induced
(instrumentation)
- Pregnancy
- Pregnancy Outcome
- Pregnancy, Prolonged
(therapy)
- Retrospective Studies
- Risk Factors
- Urinary Catheterization
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