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Cesarean delivery among women with prolonged labor induction.

Publication ,  Journal Article
Highley, LL; Previs, RA; Dotters-Katz, SK; Brancazio, LR; Grotegut, CA
Published in: J Perinat Med
October 1, 2016

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.

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Published In

J Perinat Med

DOI

EISSN

1619-3997

Publication Date

October 1, 2016

Volume

44

Issue

7

Start / End Page

759 / 766

Location

Germany

Related Subject Headings

  • Young Adult
  • Time Factors
  • Risk Factors
  • Retrospective Studies
  • Pregnancy Outcome
  • Pregnancy
  • Oxytocin
  • Obstetrics & Reproductive Medicine
  • Male
  • Logistic Models
 

Citation

APA
Chicago
ICMJE
MLA
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Highley, L. L., Previs, R. A., Dotters-Katz, S. K., Brancazio, L. R., & Grotegut, C. A. (2016). Cesarean delivery among women with prolonged labor induction. J Perinat Med, 44(7), 759–766. https://doi.org/10.1515/jpm-2014-0357
Highley, Louise L., Rebecca A. Previs, Sarah K. Dotters-Katz, Leo R. Brancazio, and Chad A. Grotegut. “Cesarean delivery among women with prolonged labor induction.J Perinat Med 44, no. 7 (October 1, 2016): 759–66. https://doi.org/10.1515/jpm-2014-0357.
Highley LL, Previs RA, Dotters-Katz SK, Brancazio LR, Grotegut CA. Cesarean delivery among women with prolonged labor induction. J Perinat Med. 2016 Oct 1;44(7):759–66.
Highley, Louise L., et al. “Cesarean delivery among women with prolonged labor induction.J Perinat Med, vol. 44, no. 7, Oct. 2016, pp. 759–66. Pubmed, doi:10.1515/jpm-2014-0357.
Highley LL, Previs RA, Dotters-Katz SK, Brancazio LR, Grotegut CA. Cesarean delivery among women with prolonged labor induction. J Perinat Med. 2016 Oct 1;44(7):759–766.
Journal cover image

Published In

J Perinat Med

DOI

EISSN

1619-3997

Publication Date

October 1, 2016

Volume

44

Issue

7

Start / End Page

759 / 766

Location

Germany

Related Subject Headings

  • Young Adult
  • Time Factors
  • Risk Factors
  • Retrospective Studies
  • Pregnancy Outcome
  • Pregnancy
  • Oxytocin
  • Obstetrics & Reproductive Medicine
  • Male
  • Logistic Models