Maternal and perinatal outcomes of indicated inductions of labor

J Matern Fetal Neonatal Med. 2016;29(14):2240-4. doi: 10.3109/14767058.2015.1085966. Epub 2015 Sep 15.

Abstract

Purpose: The purpose of this study was to evaluate the labor characteristics and maternal/perinatal consequences following indicated induction of labor.

Methods: This retrospective study examined all of the indicated inductions over 24 months and at two institutions evaluated mode of delivery (vaginal versus cesarean) as well as a comprehensive list of labor characteristics and maternal/perinatal outcomes.

Results: There were 1577 indicated inductions with 1097/1577 (69.6%) delivering vaginally. Women with a cesarean delivery had lower parity (p < (0).0001) and Bishop's score (p < (0).0001), and higher body mass indices (p = 0.022). Indication for induction due to preeclampsia increased the risk of a cesarean delivery (p = 0.008). Chorioamnionitis, post-partum complications and NICU admissions were greater in the women delivered by cesarean section.

Conclusions: Indicated inductions which result in cesarean delivery were more likely in women with higher body mass indexes, lower parity, and Bishops scores, as well as preeclampsia.

Keywords: Cesarean; indicated inductions; maternal characteristics; perinatal outcomes; vaginal.

Publication types

  • Multicenter Study

MeSH terms

  • Arkansas / epidemiology
  • Body Mass Index
  • Cesarean Section / statistics & numerical data*
  • Chorioamnionitis / epidemiology
  • Delivery, Obstetric / statistics & numerical data*
  • Female
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal / statistics & numerical data*
  • Labor, Induced*
  • Mississippi / epidemiology
  • Parity
  • Pre-Eclampsia / epidemiology
  • Pregnancy
  • Puerperal Disorders / epidemiology
  • Retrospective Studies