Navigation Links
Inducing labor is not associated with higher rates of cesarean sections
Date:6/20/2011

A new study published in the international Nordic journal Acta Obstetricia et Gynecologica Scandinavica (AOGS) reveals that inducing labor in the weeks around term, or from week 39 to week 41, is not connected with higher rates of cesarean section compared with waiting for a later spontaneous or induced labor. There has been much debate about this in recent years with a concern that induction as opposed to expectant management might lead to a higher risk for the woman to end up with emergency cesarean section, rather than to deliver normally.

Ole Bredahl Rasmussen, MD, of Herning Hospital in Denmark and Steen Rasmussen from the Danish Medical Birth Registry, have analyzed data from the Danish Birth Registry, one of the largest such registries in the world, and made comparisons among both women who were having their first birth as well as women who had previously had a child. To obtain a good basis for the study they used a large cohort of women with securely dated pregnancies and delivering in any type of hospital, from smaller regional to large university hospitals. Data from a total of 230,528 women delivering between 2004 and 2009 were used. This is a considerably larger population-based material than used up to now in comparable studies.

Overall induction rates were 15.0% and section rates were higher among the induced compared to spontaneous labors, but after adjustment for confounding factors such as age, parity, smoking and use of epidural analgesia and adjusting for each gestational week, the results showed that in induced women, induction of labor did not convey an increased risk of cesarean section when comparing outcomes in gestational weeks 39, 40 or 41 with those women who waited longer for a spontaneous or later induced labor. The study further confirmed that there is a higher cesarean rate among the more obese women (higher BMI) and with older age in both nulliparous and parous women.

"The rate of cesarean section differs in different gestational weeks," Rasmussen notes. "Our study thus shows that it is necessary to take gestational length into account when induction of labor and expectant management are being compared." But the decision to induce labor around term seems not to be dependent on timing for success at term and during the week before or after this, when the end-point of emergency cesarean section is considered. The risk for that is either not or at best only marginally increased. Induction of labor is therefore an acceptable tool when a woman is either going past term or is presenting with a problem during her pregnancy, even if it is not a severe medical illness.


'/>"/>

Contact: Amy Molnar
healthnews@wiley.com
Wiley-Blackwell
Source:Eurekalert

Related medicine news :

1. Molecule Nutlin-3a activates a signal inducing cell death and senescence in primary brain tumors
2. Effective inducing systems of hepatic differentiation from bone marrow mesenchymal stem cells
3. Walking, sex and spicy food are favored unprescribed methods to bring on labor
4. Lymphoma Research Foundation and John Theurer Cancer Center collaborate for Lymphoma Rounds program
5. National High Value Healthcare Collaborative expands
6. DFG to establish 21 new collaborative research centers
7. The Helmholtz Association and Inserm create 2 joint research laboratories in France
8. Common transplant drug inhibits breast cancer growth, UNC laboratory study shows
9. Most labor unions unlikely to follow decertification path of NFL players
10. Institut Pasteur Korea and Proteros establish a new collaboration
11. Elsevier and METI collaborate to offer simulation technology for health science curriculums
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/20/2017)... ... ... ChenMed , a leading provider of value-based care for seniors, today announced ... Chief Medical Officer. Dr. McCarter, formerly Associate Professor of Family Medicine at the ... for the UVA Health System, brings 30 years of highly relevant experience to his ...
(Date:7/20/2017)... ... July 20, 2017 , ... For individuals with extended ... The adjustable beds used in such facilities are specially designed to accommodate patients with ... support. , An inventor from Rochester, Ind., has invented the patent-pending PORTABLE ARM ...
(Date:7/20/2017)... ... July 20, 2017 , ... Vixiar Medical, Inc. , ... systems for monitoring cardiopulmonary diseases, announced today that it has raised seed round ... submissions and fund final engineering and initial production of the Company’s first product, ...
(Date:7/20/2017)... ... July 20, 2017 , ... TCGRx announced ... its existing adherence automation lines. The ATP® Mini and InspectRx® Mini ... TCG’s standard products, but at a size and price point that can help ...
(Date:7/20/2017)... ... July 20, 2017 , ... A budget proposal to switch ... of - living - adjustment (COLA) is a bad deal for older and disabled ... price index (CPI) would grow even more slowly than the conventional one that is ...
Breaking Medicine News(10 mins):
(Date:7/14/2017)... International plc (NASDAQ: ENDP ) will announce its second-quarter ... senior management team will host a conference call and webcast before ... The dial-in number to access the call is U.S./ ... is 45397076. Please dial in 10 minutes prior to the scheduled ... of the call will be available from August 8, 2017 at ...
(Date:7/12/2017)... 2017 CarpalAID is a revolutionary new product that relieves ... Carpal tunnel syndrome affects more than 8 million people a ... of men. The common methods of treating CTS are painful surgery, ... braces or gloves. ... CarpalAID is a clear patch worn on the palm ...
(Date:7/11/2017)... , July 11, 2017  Sysmex America, Inc., ... diagnostic testing equipment as well as middleware information ... way to make quality assurance easier and more ... is well known for the innovation that it ... Monitor elevates quality assurance processes to a new ...
Breaking Medicine Technology: