tut tut Mary. Why would you think that, if you think there is no
other way to do 'the job' than to induce? (says she cynically)
cheers
Judy
--- Mary Murphy <[EMAIL PROTECTED]> wrote:
> Predictors of cesarean section following elective post-dates
> induction of
> labor in nullipara with uncomplicated singleton vertex
> pregnancies - Saudi
> Medical Journal , vol 27, no 8, August 2006, pp 1167-1172
> Edris FE; von
> Dadelszen P; Ainsworth LM; et al - (2006) OBJECTIVE: Although
> post-dates is
> among the most common indications for induction of labor, no
> studies have
> identified the predictors of cesarean section (C/S) in that
> population. The
> high cesarean rate in our institution for this group of women
> triggered us
> to assess different induction practices to elicit potential
> causes. METHODS:
> We conducted a hospital-based retrospective cohort analysis
> using chart
> reviews of all nullipara women with induced labor at the
> Children's and
> Women's Health Centre of British Columbia, Vancouver, Canada,
> during the
> 2-year period, April 1998 to March 2000. The C/S rate was
> compared among 3
> groups of women who were divided according to their induction
> method.
> RESULTS: Three hundred and thirty-nine women meeting the
> inclusion criteria
> were induced. Of the 25 women who received oxytocin ideally
> and the 111
> women who did not, 7 (28%) and 53 (48%) were delivered by C/S,
> (x2=3.228
> p=0.07; relative risks 0.59 [95% confidence interval 0.30,
> 1.13]). A
> significantly lower C/S rate (x2=21.9, p<0.0005) was found
> among women
> induced with prostaglandin (PG) alone (19.4%) compared with
> those induced
> with PG and oxytocin, whether oxytocin was given ideally
> (38.3%) or not
> ideally (45.4%). Of women who received oxytocin, there was no
> difference in
> chorioamnionitis (x2=0.485, p=0.49) between those who had an
> early membrane
> rupture (with or pre-oxytocin, 22.4%) and those who had
> membrane rupture
> following a period of oxytocin infusion (18.5%). CONCLUSION:
> The need for
> oxytocin or less than 2 doses of PG is associated with
> increased risk of
> C/S. Whether oxytocin was given according to protocol
> (ideally) or not, made
> no difference to the C/S risk in this population. (Author)
>
>
>
> Am I dumb, or is it them? I would think that the question is
> "is induction
> itself a predictor of C/S" MM
>
>
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