Inducing Labor at Term Appears to Reduce Cesarean Risk

WEDNESDAY, Aug. 8, 2018 -- Inducing labor at 39 weeks may decrease the risk of cesarean section, according to a study published in the Aug. 9 issue of the New England Journal of Medicine. William A. Grobman, M.D., from Northwestern University in...
Source: Drugs.com - Pharma News - Category: Pharmaceuticals Source Type: news

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Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): B Gao, Q Feng, D Xu, X GuanStudy ObjectiveTo investigate the delivery outcome of women in the third trimester who previously underwent hysteroscopic adhesiolysis (HA).DesignRetrospective cohort study.SettingUniversity-affiliated hospital.Patients or ParticipantsA total of 127 women with a history of HA before pregnancy and delivery in the third trimester from May 2011 to May 2018 were enrolled (Study Group). Additionally, a total of 127 women with a negative history of HA were randomly se...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionsAdvanced maternal age is associated with increased risk of cesarean section in women undergoing labor induction with a single cephalic presentation at term without a previous cesarean section. The absolute risk of cesarean section is 3 ‐5 times higher across 5‐year age groups in nulliparous relative to multiparous women having induced labor.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: Original Research Article Source Type: research
Conclusion Although TVS is useful for screening for induction failure, this tool should not be used as an indication for cesarean section.Resumo Objetivo Nem sempre a indu ção do parto termina emparto vaginal, expondo tanto a mãe quanto o feto aos riscos inerentes ao procedimento de indução, ou a uma possível cesárea. A ultrassonografia transvaginal (UTV) semostrou interessante instrumento na predição da prematuridade e, neste estudo, utilizamos este instrume nto na situação inversa: indução do parto no pós-datismo. Mét...
Source: Revista Brasileira de Ginecologia e Obstetricia - Category: OBGYN Source Type: research
Abstract OBJECTIVE: The Hypertension and Preeclampsia Intervention Trial At near Term-I (HYPITAT-I) randomized controlled trial showed that, in women with gestational hypertension or mild pre-eclampsia at term, induction of labor, compared with expectant management, was associated with improved maternal outcome without compromising neonatal outcome. The aim of the current study was to evaluate the impact of these findings on obstetric management and maternal and perinatal outcomes in The Netherlands. METHODS: We retrieved data for the period 2000-2014 from the Dutch National Perinatal Registry, including 143&...
Source: The Ultrasound Review of Obstetrics and Gynecology - Category: Radiology Authors: Tags: Ultrasound Obstet Gynecol Source Type: research
(BJOG. 2018;125:1558–1566.) Overweight and obesity represent a significant impact on the world’s public health, and are associated with increased risks of adverse maternal and infant outcomes during pregnancy and delivery. As maternal body mass index (BMI) increases, gestational diabetes mellitus (GDM) also increases in prevalence. GDM is associated with adverse perinatal outcomes similar to those seen in obese pregnant women, including the need for induction of labor and cesarean section, and having an infant born large for gestational age or birthweight over 4 kg. The aim of this secondary analysis fr...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Mother, Fetus, Neonate Source Type: research
AbstractIntroductionThe number of women postponing childbirth until an advanced age is increasing. Our aim was to study the outcome of labor in nulliparous women ≥40 years, compared with women 25‐29 years, after both spontaneous onset and induction of labor.Material and methodsThe nationwide population ‐based Swedish Medical Birth Register was used to study the perinatal outcome in nulliparous women with a singleton, term (gestational weeks 37‐44), live fetus in cephalic presentation and a planned vaginal delivery from 1992 to 2011. We included 7796 nulliparous women ≥40 years and 264 262 nu...
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
Abstract OBJECTIVE: To investigate the additive value of serum placental growth factor (PLGF) and soluble fms-like tyrosine kinase-1 (sFLT-1), measured within 24 hours of induction of labor, on the performance of screening for adverse perinatal outcome provided by maternal risk factors and the cerebroplacental ratio (CPR). METHODS: This was a prospective observational study in 795 singleton pregnancies undergoing induction of labor at ≥ 37 weeks' gestation. Before induction of labor Doppler ultrasound was used to measure the pulsatility index (PI) in the umbilical artery (UA) and fetal middle...
Source: The Ultrasound Review of Obstetrics and Gynecology - Category: Radiology Authors: Tags: Ultrasound Obstet Gynecol Source Type: research
ConclusionsBalloon catheter tended to be associated with a higher probability of vaginal delivery as compared to low dose intravenous oxytocin, when used for induction of labor in women with a previous cesarean section and low Bishop score at induction.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: Original Research Article Source Type: research
Conclusion Labor induction was successful inmost patients. In the cases in which the final outcome was a cesarean section, the most strongly associated factors were: previous history of cesarean delivery, presence of fetuses with IUGR, and either excessively short or excessively long periods of induction.Resumo Objetivo Avaliar os resultados da indu ção de trabalho de parto e determinar os principais fatores associados à realização de cesarianas intraparto em pacientes do Hospital Universitário da Universidade Federal de Santa Catarina (HU-UFSC), Florianópolis, SC, Brasil. M...
Source: Revista Brasileira de Ginecologia e Obstetricia - Category: OBGYN Source Type: research
Rationale: Pain management is an essential part of good obstetrical care. The rapid onset of pain relief after combined spinal-epidural (CSE) analgesia may cause a transient imbalance in maternal catecholamine level, leading to uterine hyperactivity and fetal heart rate (FHR) abnormalities. How to manage the uterine basal tone and FHR abnormalities after labor analgesia still remains controversial. Patient concerns: A 33-year-old nulliparous woman at 40+5 weeks’ gestation underwent induction of labor after premature rupture of membranes. CSE analgesia was provided when the patient described her pain as the top o...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
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