Induction of labor in the nineties: Conquering the unfavorable cervix

Elly M Xenakis, Jeanna M. Piper, Deborah L Conway, Oded Langer

Research output: Contribution to journalArticle

97 Citations (Scopus)

Abstract

Objective: To determine the efficacy, safety, and duration of induced labor using an integrarive approach (prostaglandin, amniotomy, oxytocin) and to depict these findings graphically. Methods: Five hundred ninety-seven pregnancies requiring induction of labor between October 1993 and May 1995 were analyzed prospectively. Patients were categorized by Bishop score at entry and by parity for comparison of success of induction, maternal and fetal complications, and duration of labor. Results: The women who had a Bishop score at entry of 3 or less had significantly higher rates of failed induction (9.4 versus 0.7%, P < .01) and of cesarean delivery (29 versus 15.4%, P < .01) than those with a Bishop score above 3. Compared with spontaneous labor, the rates of cesarean delivery in induced labor remained significantly elevated. Complications of induction were infrequent, regardless of Bishop score. The time from initiation of induction to achievement of active phase was significantly longer in women with lower Bishop scores. Conclusion: Regardless of cervical status and parity, vaginal delivery can be anticipated in the majority of patients undergoing labor induction. The induction characteristics described may assist in the management of induced labor.

Original languageEnglish (US)
Pages (from-to)235-239
Number of pages5
JournalObstetrics and Gynecology
Volume90
Issue number2
DOIs
StatePublished - Aug 1997

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Induced Labor
Cervix Uteri
Parity
Obstetric Labor Complications
Oxytocin
Prostaglandins
Mothers
Safety
Pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Induction of labor in the nineties : Conquering the unfavorable cervix. / Xenakis, Elly M; Piper, Jeanna M.; Conway, Deborah L; Langer, Oded.

In: Obstetrics and Gynecology, Vol. 90, No. 2, 08.1997, p. 235-239.

Research output: Contribution to journalArticle

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