Abstract
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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The authors stated that there are no conflicts of interest regarding the publication of this article.
Supplemental Material
The online version of this article (DOI: 10.1515/jpm-2014-0357) offers supplementary material, available to authorized users.
©2016 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
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- Editorials
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- First 10 years of the International Academy of Perinatal Medicine – which lessons we have learned and what are future challenges
- Recommendation and Guidelines for Perinatal Practice
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- Original articles - Obstetrics
- Examiner’s finger-mounted fetal tissue oximetry: a preliminary report on 30 cases
- Values of T/QRS ratio in pregnancies complicated by intrauterine growth restriction
- Cesarean delivery among women with prolonged labor induction
- Maternal and fetal outcomes after uterine fundal pressure in spontaneous and assisted vaginal deliveries
- Impact of maternal age on delivery outcomes following spontaneous labour at term
- Maternal characteristics of pregnancies with intrauterine fetal demise
- Evaluation of standardized, computerized Dawes/Redman heart-rate analysis based on different recording methods and in relation to fetal beat-to-beat heart rate variability
- Perinatal outcomes with isolated oligohydramnios at term pregnancy
- Factors associated with choice of delivery with or without epidural analgesia among laboring women: a cross-sectional survey at a tertiary care hospital of a developing country
- Ultrasonographic assessment of cervical length in pregnancies scheduled for a cesarean delivery: prediction of early spontaneous onset of labor
- Characterization of visceral and subcutaneous adipose tissue transcriptome in pregnant women with and without spontaneous labor at term: implication of alternative splicing in the metabolic adaptations of adipose tissue to parturition
- Classification of stillbirths is an ongoing dilemma
- Out-of-hospital births in the United States 2009–2014
- Congress Calendar
- Congress Calendar
Articles in the same Issue
- Frontmatter
- Editorials
- Editorial
- First 10 years of the International Academy of Perinatal Medicine – which lessons we have learned and what are future challenges
- Recommendation and Guidelines for Perinatal Practice
- Is intrauterine surgery justified? Report from the working group on ultrasound in obstetrics of the World Association of Perinatal Medicine (WAPM)
- Original articles - Obstetrics
- Examiner’s finger-mounted fetal tissue oximetry: a preliminary report on 30 cases
- Values of T/QRS ratio in pregnancies complicated by intrauterine growth restriction
- Cesarean delivery among women with prolonged labor induction
- Maternal and fetal outcomes after uterine fundal pressure in spontaneous and assisted vaginal deliveries
- Impact of maternal age on delivery outcomes following spontaneous labour at term
- Maternal characteristics of pregnancies with intrauterine fetal demise
- Evaluation of standardized, computerized Dawes/Redman heart-rate analysis based on different recording methods and in relation to fetal beat-to-beat heart rate variability
- Perinatal outcomes with isolated oligohydramnios at term pregnancy
- Factors associated with choice of delivery with or without epidural analgesia among laboring women: a cross-sectional survey at a tertiary care hospital of a developing country
- Ultrasonographic assessment of cervical length in pregnancies scheduled for a cesarean delivery: prediction of early spontaneous onset of labor
- Characterization of visceral and subcutaneous adipose tissue transcriptome in pregnant women with and without spontaneous labor at term: implication of alternative splicing in the metabolic adaptations of adipose tissue to parturition
- Classification of stillbirths is an ongoing dilemma
- Out-of-hospital births in the United States 2009–2014
- Congress Calendar
- Congress Calendar