Epidemiology of induction of labor among women with term singleton gestation : two years experience

Abstract EN

-Method : Births at King Fahd Hospital of the University in 1999 and 2000 were reviewed for matern iges, parity, previous cesarean delivery, medical complications, nationality, gestational ages and mode i delivery.

Results : Induction of labor was performed in 6.6% of cases.

Relative risks of labor induction were ; Follows: maternal ages > 25 years, nulliparous, Odd ratio (OR) 2.0, hypertension, (OR = 3.6), diabeti nellitus (OR = 7.2), not having previous cesarean section (OR = 2.85), being Saudi nationals (OR = 1.2 increased gestational ages and maximum at 41 and > 42 weeks (OR = 1.9 and 4.2) respectively.

The risk < :esarean delivery is more among nulliparous women (OR = 3.6) and women with no previous cesare ; delivery (OR =1.08).

Conclusion: Nulliparity, increased maternal and gestational ages, the presence of medical complicatioi such as diabetes and hypertension increases the risk with induction of labour.

Induction of labor increasi the risk of cesarean delivery in nulliparous women.

Where as induction of labor among those with previo; :esarean delivery was not associated with higher cesarean delivery rate.