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Comparative Study
. 2013:2013:820892.
doi: 10.1155/2013/820892. Epub 2013 Jan 14.

Risk factors for cesarean delivery following labor induction in multiparous women

Corine J Verhoeven  1 , Cedric T van Uytrecht, Martina M Porath, Ben Willem J Mol
Affiliations
Comparative Study

Risk factors for cesarean delivery following labor induction in multiparous women

Corine J Verhoeven et al. J Pregnancy. 2013.

Abstract

Objective: To identify potential risk factors for cesarean delivery following labor induction in multiparous women at term.

Methods: We conducted a retrospective case-control study. Cases were parous women in whom the induction of labor had resulted in a cesarean delivery. For each case, we used the data of two successful inductions as controls. Successful induction was defined as a vaginal delivery after the induction of labor. The study was limited to term singleton pregnancies with a child in cephalic position.

Results: Between 1995 and 2010, labor was induced in 2548 parous women, of whom 80 had a cesarean delivery (3%). These 80 cases were compared to the data of 160 parous women with a successful induction of labor. In the multivariate analysis history of preterm delivery (odds ratio (OR) 5.3 (95% CI 1.1 to 25)), maternal height (OR 0.87 (95% CI 0.80 to 0.95)) and dilatation at the start of induction (OR 0.43 (95% CI 0.19 to 0.98)) were associated with failed induction.

Conclusion: In multiparous women, the risk of cesarean delivery following labor induction increases with previous preterm delivery, short maternal height, and limited dilatation at the start of induction.

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Figures

Figure 1
Figure 1
Flowchart of the study group: total number of term and postterm deliveries and inductions of labor between 1995 and 2010 in Máxima Medical Centre.
See this image and copyright information in PMC

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