Induction of labor at term following external cephalic version in nulliparous women is associated with an increased risk of cesarean delivery

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• 作者：Yael Hants ; Doron Kabiri ; Uriel Elchalal…
• 关键词：Breech presentation ; Non ; vertex presentation ; External cephalic version ; Induction of labor ; Cesarean section
• 刊名：Archives of Gynecology and Obstetrics
• 出版年：2015
• 出版时间：August 2015
• 年：2015
• 卷：292
• 期：2
• 页码：313-319
• 全文大小：426 KB
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• 作者单位：Yael Hants (1)
  Doron Kabiri (1)
  Uriel Elchalal (1)
  Sagit Arbel-Alon (1)
  Lior Drukker (2)
  Yossef Ezra (1)
  
  1. Department of Obstetrics and Gynecology, Hadassah Medical Center, Hebrew University Medical School, P.O. Box 12000, 91120, Jerusalem, Israel
  2. Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Affiliated with the Hebrew University, Hadassah School of Medicine, Jerusalem, Israel
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Gynecology
  Obstetrics and Perinatology
  Endocrinology
  Human Genetics
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-0711

文摘

Purpose To determine whether induction of labor (IOL) after successful external cephalic version (ECV) is associated with an increased risk of cesarean delivery (CD) compared with IOL with spontaneous cephalic presentation. Methods Retrospective case–control study. All women having IOL after successful ECV were eligible. Each woman in the study group was matched for parity, age and indication for induction with two consecutive controls having IOL and spontaneous cephalic presentation. The primary outcome measure was CD. Secondary outcomes measures were operative vaginal delivery, perineal tear/episiotomy and post-partum hemorrhage. Results 79 women enrolled in the study group were matched with 158 controls. The overall incidence of CD was significantly higher in the study group compared with the control group (20.3 vs. 10.1?%; OR 2.25, 95?% CI 1.06-.79, P?=?0.03). After dividing the groups according to parity, the difference in the CD rate remained statistically significant for nulliparous women (36.7 vs. 15?%; OR 3.28, 95?% CI 1.17-.16, P?=?0.02), but not for multiparous women (10.2 vs. 7.1?%; OR 1.48, 95?% CI 0.44-.92, P?=?0.53). There was no significant difference in adjusted odds ratios for secondary outcomes. Conclusion Induction of labor after successful ECV in nulliparous women increased the risk of CD compared with IOL with spontaneous cephalic presentation.