uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Elective induction of labor and the risk of cesarean section in low-risk parous women: a cohort study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Gynaecology. (Obstetrisk forskning/Högberg)
Department of Medicine, Clinical Epidemiology Unit, Karolinska Institute, Stockholm, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Gynaecology. (Obstetrisk forskning/Högberg)
2013 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 92, no 2, 198-203 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE:

To estimate the association between elective induction of labor and cesarean section in low-risk parous women, and to assess if the association is influenced by induction method.

DESIGN:

Cohort study.

SETTING:

University hospital in Sweden. Population Parous women without pregnancy complications or previous cesarean section, and with a planned vaginal term (37-41 weeks), singleton birth, in vertex position were included.

METHODS:

Information was collected from a local database containing prospectively entered antenatal and delivery data. Odds ratios for cesarean section were calculated using generalized estimating equations logistic regression and adjusted for parity, maternal age, gestational length, birthweight, use of epidural anesthesia and year of birth.

MAIN OUTCOME MEASURE:

Emergency cesarean section.

RESULTS:

Among 7973 pregnancies that fulfilled the inclusion criteria, 343 (4%) had an elective induction of labor. Intravenous oxytocin was administered in 5% of these inductions, amniotomy was performed in 62%, and a cervical ripening agent was used in 33%. Electively induced labor more than doubled the risk of cesarean section compared with spontaneous labor onset (OR 2.5, 95% 1.4-4.2) and this risk was more than tripled when cervical ripening was used (OR 3.6, 95% confidence interval 1.7-7.6).

CONCLUSIONS:

In low-risk parous women, electively induced labor has an increased risk of emergency cesarean section compared with spontaneous onset labor. This risk increase is more pronounced if cervical ripening agents are required. Women need to be counseled about these risks before elective induction of delivery is decided.

Place, publisher, year, edition, pages
2013. Vol. 92, no 2, 198-203 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-187920DOI: 10.1111/aogs.12043ISI: 000313914200012PubMedID: 23157554OAI: oai:DiVA.org:uu-187920DiVA: diva2:576081
Available from: 2012-12-12 Created: 2012-12-12 Last updated: 2017-12-07Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Authority records BETA

Jonsson, MariaWikström, Anna-Karin

Search in DiVA

By author/editor
Jonsson, MariaWikström, Anna-Karin
By organisation
Obstetrics and Gynaecology
In the same journal
Acta Obstetricia et Gynecologica Scandinavica
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 390 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf