Risk Factors for Cesarean Delivery in Preterm, Term and Post-Term Patients Undergoing Induction of Labor with an Unfavorable Cervix

被引：44

作者：

Ennen, Christopher S. ^{[1
]}

Bofill, James A. ^{[2
]}

Magann, Everett F. ^{[1
,3
]}

Bass, John D. ^{[4
]}

Chauhan, Suneet P. ^{[5
]}

Morrison, John C. ^{[2
]}

机构：

[1] USN, Med Ctr Portsmouth, Portsmouth, VA USA

[2] Univ Mississippi, Med Ctr, Mat Fetal Med Fellowship Program, Jackson, MS 39216 USA

[3] Univ Western Australia, Perth, WA 6009, Australia

[4] Tennessee Dept Hlth, Nashville, TN USA

[5] Aurora Hlth Care, W Allis, WI USA

来源：

GYNECOLOGIC AND OBSTETRIC INVESTIGATION | 2009年 / 67卷 / 02期

关键词：

Cesarean delivery; Induction of labor; Risk factors; NULLIPAROUS WOMEN; ELECTIVE INDUCTION; GESTATIONAL-AGE; IMPACT; TRIAL;

D O I：

10.1159/000166307

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Background/Aims: To identify risk factors for cesarean delivery in patients with an unfavorable cervix undergoing an indicated induction of labor. Methods: This is a secondary analysis of combined data from three prospective randomized trials comparing cervical ripening methods in singleton pregnancies with an unfavorable cervix seeking to identify risk factors for cesarean delivery. Results: Nine hundred and five women underwent an induction of labor for a variety of indications. Gestational age ranged from 27.0-42.8 weeks (mean of 37.8 weeks) and initial Bishop's score from 0-6 (mean 2.5). There were 613 vaginal deliveries (67.7%) and 292 cesarean deliveries (32.2%). Factors associated with an increased risk for cesarean delivery included nulliparous status, Bishop's score <= 1, body mass index >40 and diabetes mellitus. Conclusions: Risk factors for cesarean delivery in women undergoing an indicated induction include a low Bishop's score, high BMI, nulliparity and diabetes. Copyright (C) 2008 S. Karger AG, Basel

引用

页码：113 / 117

页数：5

共 15 条

[1] Prolonged pregnancy: Induction of labor and cesarean births [J].