The association between the regular use of early-term labor induction and improved birth outcomes: new evidence from an Italian hospital
| Autor: | Anna Biffi, James M Nicholson, Gianluca Raffaello Damiani, Roberto Zagni, Gregorio Del Boca |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors medicine.medical_treatment Early Term law.invention Cohort Studies Young Adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Pregnancy Risk Factors law medicine Humans Labor Induced Young adult Retrospective Studies Alternative methods 030219 obstetrics & reproductive medicine Cesarean Section Obstetrics business.industry Pregnancy Outcome Obstetrics and Gynecology Retrospective cohort study Delivery Obstetric medicine.disease Italy 030220 oncology & carcinogenesis Labor induction Female business Cohort study |
| Zdroj: | Minerva Obstetrics and Gynecology. 69 |
| ISSN: | 2724-6450 2724-606X |
| DOI: | 10.23736/s0026-4784.17.04023-0 |
| Popis: | BACKGROUND Associations have been recently reported between the frequent use of early-term preventive labor induction and improvements in multiple parameters of birth health. We sought to replicate these findings in an Italian hospital. METHODS The outcomes of 120 consecutively delivered women who were exposed to the alternative method of care were compared to the outcomes of 159 women who received standard management. The primary and secondary outcomes were group cesarean delivery rate and group adverse outcome index score. RESULTS Exposed women had a higher induction rate, a lower cesarean delivery rate (1.7% vs. 43.4%), and a lower group AOI Score (0.2 vs.5.8). CONCLUSIONS Exposure to high levels of early term preventive labor induction was associated with a lower group cesarean delivery rate and improvement in several other major birth outcomes. An adequately powered randomized controlled trial is needed to further explore this alternative method of care. |
| Databáze: | OpenAIRE |
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