Cesarean delivery among women with prolonged labor induction.

Published

Journal Article

OBJECTIVE: The objective of this study was to determine characteristics associated with cesarean delivery among women with labor induction lasting over 24 h. STUDY DESIGN: Women with live singleton pregnancies without prior cesarean delivery undergoing a labor induction lasting >24 h between September 2006 and March 2009 at Duke University Hospital were identified. Collected variables were compared between subjects by mode of delivery. A multivariate logistic regression model for the outcome cesarean delivery was constructed separately for nulliparous and parous women. RESULTS: There were 303 women who met inclusion criteria. The overall cesarean delivery rate was 57% (n=172) and remained constant with time (P=0.15, test-for-trend). Nulliparous women having a cesarean delivery were more likely to be obese [adjusted OR (aOR) 2.00; 95% CI 1.05, 3.80] and have a larger fetus [aOR 1.11 (aOR for every 100 g increase in birthweight), 95% CI 1.03, 1.20] compared to those having a vaginal delivery. CONCLUSION: Increasing BMI and birthweight were independent predictors of cesarean delivery among nulliparous women with prolonged labor induction. Despite this, after 24 h of labor induction, the overall mean cesarean delivery rate remained constant at 57%, and did not change with time. Among women having a vaginal delivery following a prolonged labor induction, we saw high rates of shoulder dystocia, operative vaginal delivery and severe perineal laceration.

Full Text

Duke Authors

Cited Authors

  • Highley, LL; Previs, RA; Dotters-Katz, SK; Brancazio, LR; Grotegut, CA

Published Date

  • October 1, 2016

Published In

Volume / Issue

  • 44 / 7

Start / End Page

  • 759 - 766

PubMed ID

  • 26352059

Pubmed Central ID

  • 26352059

Electronic International Standard Serial Number (EISSN)

  • 1619-3997

Digital Object Identifier (DOI)

  • 10.1515/jpm-2014-0357

Language

  • eng

Conference Location

  • Germany