Tania,
Allison Shorten and Brett Shorten (University of Wollongong) are about to publish an Australian study on the c/section rate with epidural block. I do not have any info on demopgraphics etc as you would imagine all the details are kept under wraps until publication (which is what we want - publication !!).
 
They have studied two groups a) IOL and b) spontaneous labour.  The results show a slight difference in the two groups of about 1.5% higher in the IOL group compared with the spont labour group. In both groups the results show (approx) 60% c/section rate - not the 30-50% c/section rate often spoken of.
 
This study is in line with the results Sally Tracy found in her research on EDB and c/section which also sits around 60%.
 
I would suggest IOL should be looked at in it's entirety (the package deal).  I am not sure if either study looks at the numbers of women having IOL.  BUT we can safely say to women now - two Australian studies have identified that whether you have IOL or not there is a 60% chance of having a c/section with epidural block.
 
SA
xo
----- Original Message -----
Sent: Monday, September 12, 2005 6:11 PM
Subject: [ozmidwifery] IOL and C/s...

 

Just wondering if there are any good quality trials about IOL and increase of c/s?  Have just re-read Enkin, and it does state that IOL is not associated with an increase in caesarean section rate (but given that most states here are up around the 30% mark, you have to wonder what they are comparing that to?), but I thought something came out of the Uk not long ago disputing this?

 

Anyone?

 

Tania


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