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Archives of Gynecology and Obstetrics

, Volume 286, Issue 1, pp 37–41 | Cite as

Maternal outcome monitoring: induction of labor versus spontaneous onset of labor—a retrospective data analysis

  • Barbara Kiesewetter
  • Rainer LehnerEmail author
Maternal-Fetal Medicine

Abstract

Purpose

To determine the efficacy and maternal complication rates of induction of labor, and to identify a concrete point in time for induction with the lowest possible risk for adverse events.

Methods

We designed a retrospective data analysis of all births at the general hospital of Vienna from 2003 to 2008 (n = 16,872) and compared maternal complications of induced labors from 38 or more weeks of gestation versus spontaneous deliveries. The ethical committee of the General Hospital of Vienna and the Medical University of Vienna monitored this study and provided approval.

Results

Women who had induction between 38 and 42 weeks of gestation (n = 1,254) had a significant higher risk for the need of a secondary cesarean (15.2 vs. 8.6%; p < 0.001) and a higher chance for abnormally adherent placentas (1.5 vs. 2.5%; p = 0.13). The amount of maternal blood loss was equal in both groups. Concerning the question when to induct labor, there was no significant difference of distribution of complications between induced labors at term and induction within the next 10 days.

Conclusions

This study suggests that induction is associated with a higher risk for secondary cesareans and abnormally adherent placentas. The exact time of induction seems to be irrelevant between expected date of delivery and the next 10 days.

Keywords

Induction of labor Prolonged pregnancy Secondary cesarean Post-term pregnancy 

Notes

Conflict of interest

The authors report no conflicts of interests. The authors alone are responsible for the content and writing of the paper.

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  1. 1.Department of Obstetrics and Gynecology, Division of Feto-maternal Medicine and ObstetricsMedical University ViennaViennaAustria

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