Universität zu Köln

Thangarajah, F., Scheufen, P., Kirn, V. and Mallmann, P. (2016). Induction of Labour in Late and Postterm Pregnancies and its Impact on Maternal and Neonatal Outcome. Geburtshilfe Frauenheilkd., 76 (7). S. 793 - 799. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-8804

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Abstract

Introduction: This study aimed to determine the effects of induction of labour in late-term pregnancies on the mode of delivery, maternal and neonatal outcome. Methods: We retrospectively analyzed deliveries between 2000 and 2014 at the University Hospital of Cologne. Women with a pregnancy aged between 41 + 0 to 42 + 6 weeks were included. Those who underwent induction of labour were compared with women who were expectantly managed. Maternal and neonatal outcomes were evaluated. Results: 856 patients were included into the study. The rate of cesarean deliveries was significantly higher for the induction of labour group (33.8 vs. 21.1%, p < 0.001). Aside from the more frequent occurrence of perineal lacerations (induction of labour group vs. expectantly managed group = 38.1% compared with 26.4%, p = 0.002) and all types of lacerations (induction of labour group vs. expectantly managed group = 61.5% vs. 52.2%, p = 0.021) in women with vaginal delivery, there were no significant differences in maternal outcome. Besides, no differences regarding neonatal outcome were observed. Conclusions: Our study suggests that induction of labour in late and postterm pregnancies is associated with a significantly higher cesarean section rate. Other maternal and fetal parameters were not influenced by induction of labour.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Thangarajah, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Scheufen, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kirn, V. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mallmann, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-270495
DOI:	10.1055/s-0042-107672
Journal or Publication Title:	Geburtshilfe Frauenheilkd.
Volume:	76
Number:	7
Page Range:	S. 793 - 799
Date:	2016
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1438-8804
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EXPECTANT MANAGEMENT; ELECTIVE INDUCTION; PROLONGED PREGNANCY; CESAREAN DELIVERY; SPONTANEOUS ONSET; RANDOMIZED TRIAL; RISK; TERM; GESTATION; WOMEN Multiple languages Obstetrics & Gynecology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27049