Influence of Preeclampsia on Induction of Labor at Term: A Cohort Study.
Cesarean section
hypertension
induced labor
preeclampsia
term pregnancy
Journal
In vivo (Athens, Greece)
ISSN: 1791-7549
Titre abrégé: In Vivo
Pays: Greece
ID NLM: 8806809
Informations de publication
Date de publication:
Historique:
received:
05
12
2019
revised:
22
01
2020
accepted:
27
01
2020
entrez:
2
5
2020
pubmed:
2
5
2020
medline:
9
2
2021
Statut:
ppublish
Résumé
Even though vaginal delivery is a feasible option in patients with preeclampsia, the cesarean section rate in those patients is high. The aim of this study was to evaluate the influence of preeclampsia on induction of labor at term. This historical cohort study analyzed inductions of labor in women at term having preeclampsia versus women who were induced due to other reasons. The primary outcome measure was the cesarean section rate. The cesarean section rate was higher in the preeclampsia group for both nulliparous and multiparous women after induction of labor but failed to reach statistical significane. The induction-to-delivery interval was longer in nulliparous women and the rate of vaginal birth within 48 h was lower in the nulliparous patiens with preeclampsia. However, the impact of preeclampsia on the cesarean section rate was not significant in the multivariable analysis following adjustment for BMI and parity. Preeclampsia at term did not influence the cesarean section rate in nulliparous and parous women when labor was induced.
Sections du résumé
BACKGROUND/AIM
OBJECTIVE
Even though vaginal delivery is a feasible option in patients with preeclampsia, the cesarean section rate in those patients is high. The aim of this study was to evaluate the influence of preeclampsia on induction of labor at term.
PATIENTS AND METHODS
METHODS
This historical cohort study analyzed inductions of labor in women at term having preeclampsia versus women who were induced due to other reasons. The primary outcome measure was the cesarean section rate.
RESULTS
RESULTS
The cesarean section rate was higher in the preeclampsia group for both nulliparous and multiparous women after induction of labor but failed to reach statistical significane. The induction-to-delivery interval was longer in nulliparous women and the rate of vaginal birth within 48 h was lower in the nulliparous patiens with preeclampsia. However, the impact of preeclampsia on the cesarean section rate was not significant in the multivariable analysis following adjustment for BMI and parity.
CONCLUSION
CONCLUSIONS
Preeclampsia at term did not influence the cesarean section rate in nulliparous and parous women when labor was induced.
Identifiants
pubmed: 32354909
pii: 34/3/1195
doi: 10.21873/invivo.11892
pmc: PMC7279832
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1195-1200Informations de copyright
Copyright© 2020, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
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