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https://hdl.handle.net/2440/70335
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Type: | Journal article |
Title: | Maternal and neonatal outcomes following induction of labor: a cohort study |
Author: | Grivell, R. Reilly, A. Oakey, H. Chan, A. Dodd, J. |
Citation: | Acta Obstetricia et Gynecologica Scandinavica, 2012; 91(2):198-203 |
Publisher: | Munksgaard Int Publ Ltd |
Issue Date: | 2012 |
ISSN: | 0001-6349 1600-0412 |
Statement of Responsibility: | Rosalie M. Grivell, Aimee J. Reilly, Helena Oakey, Annabelle Chan & Jodie M. Dodd |
Abstract: | Objective. To evaluate maternal and neonatal outcomes associated with birth at term by week of gestational age and also by onset of labor. Design. Cohort study. Setting. A state-wide perinatal outcome database. Population. 28 626 women with spontaneous onset of labor, induction of labor for recognized indications and induction of labor for non-recognized indications. Methods. Cohort study utilizing a validated dataset comparing outcomes with type of onset of labor using a log binomial model. Main outcome measures. Cesarean section, assisted vaginal birth, importantmeasures ofmaternal and neonatal morbidity. Results. Induction of labor for non-recognized indications was associated with a significantly increased risk of a range of outcomes, including cesarean section (RR 1.67, 95%CI 1.55–1.80). The lowest risk of adversematernal and infant outcome occurred with birth between 38 and 39 weeks and with the spontaneous onset of labor. Conclusions. Induction of labor for non-recognized indications at term is associated with an increased risk of adverse outcomes. Caution is warranted with a liberal policy of induction of labor at term in an otherwise uncomplicated pregnancy. |
Keywords: | Humans Birth Injuries Birth Weight Pregnancy Outcome Intensive Care, Neonatal Cesarean Section Extraction, Obstetrical Labor, Induced Models, Statistical Risk Prospective Studies Gestational Age Pregnancy Adult Infant, Newborn Female Obstetric Labor Complications Perinatal Mortality |
Rights: | © 2011 Nordic Federation of Societies of Obstetrics and Gynecology |
DOI: | 10.1111/j.1600-0412.2011.01298.x |
Published version: | http://dx.doi.org/10.1111/j.1600-0412.2011.01298.x |
Appears in Collections: | Aurora harvest 5 Obstetrics and Gynaecology publications |
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