Induction at 41 weeks increases the risk of caesarean section in a hospital with a low rate of caesarean sections

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Jorge BurgosTxantón Martínez-Astorquiza

Abstract

To analyse the impact of a change in the management of prolonged pregnancies from inducing labour at 42(+0) to induction at 41(0-6). Retrospective cohort study. Analysis of 3563 single pregnancies with cephalic presentation of ≥ 41 weeks of gestation delivered in Cruces University Hospital (Spain). Two cohorts were compared corresponding to before and after the change in the policy on induction. Induction rate, vaginal delivery rate, newborn morbidity and mortality. The overall rate of caesarean sections in the patients included in the study was 12.8% (19.5% among those induced and 8.4% among those in whom the onset of labour has been spontaneous). The caesarean section rate in cohorts 41(0-6) and 42(+0) were 14.1% and 11.4%, respectively (p=0.01). Though there were more newborns with umbilical cord blood ph<7.10 in cohort 41(0-6) than in the other group (8.7% versus 4.5%; p<0.01), no significant differences were found between cohorts in 5-min Apgar score < 7, number of admissions to the neonatal care unit or perinatal mortality. The induction of labour during week 41 in prolonged pregnancies may increase the rate of caesarean sections in hospitals with low rates of caesarean sections.

References

Mar 21, 1998·British Journal of Obstetrics and Gynaecology·L HilderB Thilaganathan
Jan 9, 2001·Accident and Emergency Nursing·J J Crowley
Mar 3, 2001·American Journal of Obstetrics and Gynecology·G C Smith
Jun 12, 2003·Obstetrics and Gynecology·Luis Sanchez-RamosAndrew M Kaunitz
Jul 16, 2003·American Journal of Obstetrics and Gynecology·Annette W OlesenJorn Olsen
Jul 22, 2008·American Journal of Obstetrics and Gynecology·Tim A BrucknerAaron B Caughey
Oct 11, 2008·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Martina DelaneyUNKNOWN CLINICAL PRACTICE OBSTETRICS COMMITTEE
Aug 19, 2009·Annals of Internal Medicine·Aaron B CaugheyDena M Bravata
Sep 19, 2009·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Heidi PavicicSavas M Menticoglou

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Citations

Sep 11, 2016·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·K MahomedK Gibbons
Nov 21, 2014·The Journal of Perinatal Education·Debby Amis
Oct 10, 2018·JBI Database of Systematic Reviews and Implementation Reports·Eva RydahlMette Juhl

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