Cargando…
Factors Associated with Intrapartum Cesarean Section in Women Submitted to Labor Induction
Objective To evaluate the results of induced labor and to determine the main factors associated with intrapartum cesarean section after patients being submitted to this procedure at the Hospital Universitário of the Universidade Federal de Santa Catarina (HU/UFSC, in the Portuguese acronym), Florian...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Revinter Publicações Ltda
2019
|
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10316804/ https://www.ncbi.nlm.nih.gov/pubmed/31247664 http://dx.doi.org/10.1055/s-0039-1688966 |
_version_ | 1785067782950354944 |
---|---|
author | Pfützenreuter, Glaucia Regina Cavalieri, Juliana Coutinho Fragoso, Ana Paula de Oliveira Da Corregio, Karine Souza Freitas, Paulo Fontoura Trapani, Alberto |
author_facet | Pfützenreuter, Glaucia Regina Cavalieri, Juliana Coutinho Fragoso, Ana Paula de Oliveira Da Corregio, Karine Souza Freitas, Paulo Fontoura Trapani, Alberto |
author_sort | Pfützenreuter, Glaucia Regina |
collection | PubMed |
description | Objective To evaluate the results of induced labor and to determine the main factors associated with intrapartum cesarean section after patients being submitted to this procedure at the Hospital Universitário of the Universidade Federal de Santa Catarina (HU/UFSC, in the Portuguese acronym), Florianópolis, state of Santa Catarina, Brazil. Methods A retrospective cross-sectional study that included all the pregnancies that resulted in single-fetus births, whose gestational-age was > 22 weeks and that had been submitted to labor induction at the HU/UFSC in the period from 2013 to 2016. Results During the proposed period, 1,491 pregnant women were submitted to the labor induction protocol. In 1,264 cases (84.8%), induction resulted in labor, with 830 (65.7%) progressing to vaginal delivery. Gestational age ≥ 41 + 0 weeks was the most common indication for induced labor (55.2%), and vaginal administration of misoprostol was the most commonly used method (72.0%). Among these pregnant women, the cesarean section rate was of 34.3%. Considering the cases of induction failure, the cesarean section rate rose to 44.3%. The factors associated with cesarean section were: previous history of cesarean delivery (PR [prevalence ratio] = 1.48; 95%CI [confidence interval]: 1.51–1.88), fetuses with intrauterine growth restriction (IUGR) (PR = 1.82; 95%CI: 1.32–2.19), Bishop score ≤ 6 (PR = 1.33; 95%CI: 1.01–1.82), and induction time either < 12 hours (PR = 1.44; 95%CI: 1.17–1.66) or > 36 hours (PR = 1.51; 95%CI 1.22–1.92) between the beginning of the induction and the birth. Conclusion Labor induction was successful in most patients. In the cases in which the final outcome was a cesarean section, the most strongly associated factors were: previous history of cesarean delivery, presence of fetuses with IUGR, and either excessively short or excessively long periods of induction. |
format | Online Article Text |
id | pubmed-10316804 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Thieme Revinter Publicações Ltda |
record_format | MEDLINE/PubMed |
spelling | pubmed-103168042023-07-27 Factors Associated with Intrapartum Cesarean Section in Women Submitted to Labor Induction Pfützenreuter, Glaucia Regina Cavalieri, Juliana Coutinho Fragoso, Ana Paula de Oliveira Da Corregio, Karine Souza Freitas, Paulo Fontoura Trapani, Alberto Rev Bras Ginecol Obstet Objective To evaluate the results of induced labor and to determine the main factors associated with intrapartum cesarean section after patients being submitted to this procedure at the Hospital Universitário of the Universidade Federal de Santa Catarina (HU/UFSC, in the Portuguese acronym), Florianópolis, state of Santa Catarina, Brazil. Methods A retrospective cross-sectional study that included all the pregnancies that resulted in single-fetus births, whose gestational-age was > 22 weeks and that had been submitted to labor induction at the HU/UFSC in the period from 2013 to 2016. Results During the proposed period, 1,491 pregnant women were submitted to the labor induction protocol. In 1,264 cases (84.8%), induction resulted in labor, with 830 (65.7%) progressing to vaginal delivery. Gestational age ≥ 41 + 0 weeks was the most common indication for induced labor (55.2%), and vaginal administration of misoprostol was the most commonly used method (72.0%). Among these pregnant women, the cesarean section rate was of 34.3%. Considering the cases of induction failure, the cesarean section rate rose to 44.3%. The factors associated with cesarean section were: previous history of cesarean delivery (PR [prevalence ratio] = 1.48; 95%CI [confidence interval]: 1.51–1.88), fetuses with intrauterine growth restriction (IUGR) (PR = 1.82; 95%CI: 1.32–2.19), Bishop score ≤ 6 (PR = 1.33; 95%CI: 1.01–1.82), and induction time either < 12 hours (PR = 1.44; 95%CI: 1.17–1.66) or > 36 hours (PR = 1.51; 95%CI 1.22–1.92) between the beginning of the induction and the birth. Conclusion Labor induction was successful in most patients. In the cases in which the final outcome was a cesarean section, the most strongly associated factors were: previous history of cesarean delivery, presence of fetuses with IUGR, and either excessively short or excessively long periods of induction. Thieme Revinter Publicações Ltda 2019-06 /pmc/articles/PMC10316804/ /pubmed/31247664 http://dx.doi.org/10.1055/s-0039-1688966 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Pfützenreuter, Glaucia Regina Cavalieri, Juliana Coutinho Fragoso, Ana Paula de Oliveira Da Corregio, Karine Souza Freitas, Paulo Fontoura Trapani, Alberto Factors Associated with Intrapartum Cesarean Section in Women Submitted to Labor Induction |
title | Factors Associated with Intrapartum Cesarean Section in Women Submitted to Labor Induction |
title_full | Factors Associated with Intrapartum Cesarean Section in Women Submitted to Labor Induction |
title_fullStr | Factors Associated with Intrapartum Cesarean Section in Women Submitted to Labor Induction |
title_full_unstemmed | Factors Associated with Intrapartum Cesarean Section in Women Submitted to Labor Induction |
title_short | Factors Associated with Intrapartum Cesarean Section in Women Submitted to Labor Induction |
title_sort | factors associated with intrapartum cesarean section in women submitted to labor induction |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10316804/ https://www.ncbi.nlm.nih.gov/pubmed/31247664 http://dx.doi.org/10.1055/s-0039-1688966 |
work_keys_str_mv | AT pfutzenreuterglauciaregina factorsassociatedwithintrapartumcesareansectioninwomensubmittedtolaborinduction AT cavalierijulianacoutinho factorsassociatedwithintrapartumcesareansectioninwomensubmittedtolaborinduction AT fragosoanapauladeoliveira factorsassociatedwithintrapartumcesareansectioninwomensubmittedtolaborinduction AT dacorregiokarinesouza factorsassociatedwithintrapartumcesareansectioninwomensubmittedtolaborinduction AT freitaspaulofontoura factorsassociatedwithintrapartumcesareansectioninwomensubmittedtolaborinduction AT trapanialberto factorsassociatedwithintrapartumcesareansectioninwomensubmittedtolaborinduction |