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Is Unfavourable Cervix prior to Labor Induction Risk for Adverse Obstetrical Outcome in Time of Universal Ripening Agents Usage? Single Center Retrospective Observational Study
Joint Authors
Jakub, Mlodawski
Marta, Mlodawska
Jagoda, Galuszewska
Kamila, Glijer
Stanislaw, Gluszek
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-01
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Cervical assessment on the Bishop scale prior to induction of labor (IOL) is one of the strongest prognostic criteria in relation to the success of the procedure.
The commonly used preinduction methods are mainly aimed at reducing the percentage of cesarean sections.
Our study has analyzed obstetric results of patients who had unripe cervix (Bishop score <7) before IOL and used preinduction (Foley catheter or misoprostol vaginal insert releasing 7 mcg of misoprostol per hour for 24 hours) with obstetric results of patients in whom, due to favourable cervix, only a low-dose infusion of oxytocin was used.
We reviewed the medical records of 1010 single pregnancies in whom IOL was performed.
We divided the patients into two groups: group A (where preinduction was used) and group B (Bishop score ≥7 points) where preinduction was not used.
Patients in group A were more likely to complete the delivery by caesarean section (OR=4.58, 95% CI 3.22-6.51), and more likely to have events that were indications for operative delivery: unreassuring fetal heart rate trace (OR=3.29, 95% CI 2.07-5.23) and arrested labor or failed induction (OR=3.4, 95% CI 2.06-5.62).
The groups did not differ in the percentage of vacuum extraction, postpartum haemorrhage, and meconium stained amniotic fluid.
In group B, more infants were born with umbilical cord blood pH <7.1 (1.38% vs.
0%), both groups included no deliveries of newborns with Apgar score ≤3 points, the groups did not differ in terms of the percentage of newborns with Apgar score between 4 and 7 at birth (OR=0.66, 95% CI 0.29-1.49).
The immature cervix and the need to use labor preinduction is a risk factor for caesarean section.
The necessity of preinduction does not impair neonatological results.
American Psychological Association (APA)
Jakub, Mlodawski& Marta, Mlodawska& Jagoda, Galuszewska& Kamila, Glijer& Stanislaw, Gluszek. 2020. Is Unfavourable Cervix prior to Labor Induction Risk for Adverse Obstetrical Outcome in Time of Universal Ripening Agents Usage? Single Center Retrospective Observational Study. Journal of Pregnancy،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1189983
Modern Language Association (MLA)
Jakub, Mlodawski…[et al.]. Is Unfavourable Cervix prior to Labor Induction Risk for Adverse Obstetrical Outcome in Time of Universal Ripening Agents Usage? Single Center Retrospective Observational Study. Journal of Pregnancy No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1189983
American Medical Association (AMA)
Jakub, Mlodawski& Marta, Mlodawska& Jagoda, Galuszewska& Kamila, Glijer& Stanislaw, Gluszek. Is Unfavourable Cervix prior to Labor Induction Risk for Adverse Obstetrical Outcome in Time of Universal Ripening Agents Usage? Single Center Retrospective Observational Study. Journal of Pregnancy. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1189983
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1189983