Induction of labor compared to expectant management in low-risk women and associated perinatal outcomes

被引：62

作者：

Cheng, Yvonne W. ^{[1
]}

Kaimal, Anjali J. ^{[2
]}

Snowden, Jonathan M. ^{[3
]}

Nicholson, James M. ^{[4
]}

Caughey, Aaron B. ^{[3
]}

机构：

[1] Univ Calif San Francisco, Sch Med, Dept Obstet Gynecol & Reprod Med, Div Maternal Fetal Med, San Francisco, CA 94143 USA

[2] Massachusetts Gen Hosp, Dept Obstet & Gynecol, Div Maternal Fetal Med, Boston, MA 02114 USA

[3] Oregon Hlth & Sci Univ, Dept Obstet & Gynecol, Portland, OR 97201 USA

[4] Univ Penn, Sch Med, Dept Family & Community Med, Philadelphia, PA 19104 USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2012年 / 207卷 / 06期

基金：

美国国家卫生研究院;

关键词：

cesarean; induction; neonatal outcomes; CESAREAN DELIVERY; NULLIPAROUS WOMEN; POSTTERM PREGNANCY; TERM;

D O I：

10.1016/j.ajog.2012.09.019

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: We sought to examine the association of labor induction and perinatal outcomes. STUDY DESIGN: This was a retrospective cohort study of low-risk nulliparous women with term, live births. Women who had induction at a given gestational age (eg, 39 weeks) were compared to delivery at a later gestation (eg, 40, 41, or 42 weeks). RESULTS: Compared to delivery at a later gestational age, those induced at 39 weeks had a lower risk of cesarean (adjusted odds ratio [aOR], 0.90; 95% confidence interval [CI], 0.88-0.91) and labor dystocia (aOR, 0.88; 95% CI, 0.84-0.94). Their neonates had lowered risk of having 5-minute Apgar <7 (aOR, 0.81; 95% CI, 0.72-0.92), meconium aspiration syndrome (aOR, 0.30; 95% CI, 0.19-0.48), and admission to neonatal intensive care unit (aOR, 0.87; 95% CI, 0.78-0.97). Similar findings were seen for women who were induced at 40 weeks compared to delivery later. CONCLUSION: Induction of labor in low-risk women at term is not associated with increased risk of cesarean delivery compared to delivery later.

引用

页码：502.e1 / 502.e8

页数：8

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