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Table of Contents
Vol. 67, No. 2, 2009
Issue release date: February 2009
Section title: Original Article
Gynecol Obstet Invest 2009;67:113–117
(DOI:10.1159/000166307)

Risk Factors for Cesarean Delivery in Preterm, Term and Post-Term Patients Undergoing Induction of Labor with an Unfavorable Cervix

Ennen C.S.a · Bofill J.A.b · Magann E.F.a, c · Bass J.D.d · Chauhan S.P.e · Morrison J.C.b
aObstetrics and Gynecology, Naval Medical Center Portsmouth, Portsmouth, Va., and bMaternal-Fetal Medicine Fellowship Program, University of Mississippi Medical Center, Jackson, Miss., USA; cObstetrics and Gynecology, University of Western Australia, Perth, W.A., Australia; dTennessee Department of Health, Nashville, Tenn., and eMaternal-Fetal Medicine, Aurora Health Care, West Allis, Wisc., USA

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Article / Publication Details

First-Page Preview
Abstract of Original Article

Received: January 15, 2008
Accepted: July 22, 2008
Published online: October 30, 2008
Issue release date: February 2009

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 3

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: http://www.karger.com/GOI

Abstract

Background/Aims: To identify risk factors for cesarean delivery in patients with an unfavorable cervix undergoing an indicated induction of labor. Methods: This is a secondary analysis of combined data from three prospective randomized trials comparing cervical ripening methods in singleton pregnancies with an unfavorable cervix seeking to identify risk factors for cesarean delivery. Results: Nine hundred and five women underwent an induction of labor for a variety of indications. Gestational age ranged from 27.0–42.8 weeks (mean of 37.8 weeks) and initial Bishop’s score from 0–6 (mean 2.5). There were 613 vaginal deliveries (67.7%) and 292 cesarean deliveries (32.2%). Factors associated with an increased risk for cesarean delivery included nulliparous status, Bishop’s score ≤1, body mass index >40 and diabetes mellitus. Conclusions: Risk factors for cesarean delivery in women undergoing an indicated induction include a low Bishop’s score, high BMI, nulliparity and diabetes.

© 2008 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Original Article

Received: January 15, 2008
Accepted: July 22, 2008
Published online: October 30, 2008
Issue release date: February 2009

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 3

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: http://www.karger.com/GOI


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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