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Table of Contents
Vol. 56, No. 3, 2003
Issue release date: November 2003
Section title: Original Article
Gynecol Obstet Invest 2003;56:133–138
(DOI:10.1159/000073771)

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

A Matched Cohort Study

van Gemund N.a,b · Hardeman A.a · Scherjon S.A.a · Kanhai H.H.H.a
aDepartment of Obstetrics, Leiden University Medical Center, Leiden, and bDepartment of Obstetrics and Gynecology, St Franciscus Hospital, Rotterdam, The Netherlands

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Article / Publication Details

First-Page Preview
Abstract of Original Article

Received: July 11, 2002
Accepted: July 21, 2003
Published online: November 07, 2003
Issue release date: November 2003

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 4

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

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

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.

© 2003 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Original Article

Received: July 11, 2002
Accepted: July 21, 2003
Published online: November 07, 2003
Issue release date: November 2003

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 4

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

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


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