caa a22 4500 445311282 CHVBK 20180317142630.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00404-010-1671-2 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1671-2 Is induced labour in the nullipara associated with more maternal and perinatal morbidity? [Elektronische Daten] [Dan Selo-Ojeme, Cathy Rogers, Ashok Mohanty, Naseem Zaidi, Rose Villar, Panicos Shangaris] Purpose: To ascertain any differences in foetomaternal outcomes in induced and spontaneous labour among nulliparous women delivering at term. Methods: A retrospective matched cohort study consisting of 403 nulliparous women induced at ≥292days and 806 nulliparous women with spontaneous labour at 285-291days. Results: Compared to those in spontaneous labour, women who had induction of labour were three times more likely to have a caesarean delivery (OR 3.1, 95% CI 2.4-4.1; P<0.001). Women who had induction of labour were 2.2 times more likely to have oxytocin augmentation (OR 2.2, 95% CI 1.7-2.8; P<0.001), 3.6 times more likely to have epidural anaesthesia (OR 3.6, 95% CI 2.8-4.6; P<0.001), 1.7 times more likely to have uterine hyperstimulation (OR 1.7, 95% CI 1.1-2.6), 2 times more likely to have a suspicious foetal heart rate trace (OR 2.0, 95% CI 1.5-2.6), 4.1 times more likely to have blood loss over 500ml (OR 4.1, 95% CI 2.9-5.5; P<0.001), and 2.9 times more likely to stay in hospital beyond 5days (OR 2.9, 95% CI 1.5-5.6; P<0.001). Babies born to mothers who had induction of labour were significantly more likely to have an Apgar score of <5 at 5min and an arterial cord pH of <7.0. Conclusion: Compared to those with spontaneous labour, nulliparous women with induced labours are more likely to have uterine hyperstimulation, caesarean delivery, and babies with low Apgar scores. Nulliparous women should be made aware of this, as well as potential risks of expectant management during counseling. Springer-Verlag, 2010 Induction of labour nationallicence Spontaneous labour nationallicence Caesarean section nationallicence Pregnancy complication nationallicence Neonatal outcome nationallicence Selo-Ojeme Dan Department of Obstetrics and Gynaecology, Women and Children's Directorate, Barnet and Chase Farm Hospitals NHS Trust, Chase Farm Hospital, The Ridgeway, Enfield, UK aut Rogers Cathy Department of Obstetrics and Gynaecology, Women and Children's Directorate, Barnet and Chase Farm Hospitals NHS Trust, Chase Farm Hospital, The Ridgeway, Enfield, UK aut Mohanty Ashok Department of Obstetrics and Gynaecology, Women and Children's Directorate, Barnet and Chase Farm Hospitals NHS Trust, Chase Farm Hospital, The Ridgeway, Enfield, UK aut Zaidi Naseem Department of Obstetrics and Gynaecology, Women and Children's Directorate, Barnet and Chase Farm Hospitals NHS Trust, Chase Farm Hospital, The Ridgeway, Enfield, UK aut Villar Rose Department of Obstetrics and Gynaecology, Women and Children's Directorate, Barnet and Chase Farm Hospitals NHS Trust, Chase Farm Hospital, The Ridgeway, Enfield, UK aut Shangaris Panicos Department of Obstetrics and Gynaecology, Women and Children's Directorate, Barnet and Chase Farm Hospitals NHS Trust, Chase Farm Hospital, The Ridgeway, Enfield, UK aut Archives of Gynecology and Obstetrics Springer-Verlag 284/2(2011-08-01), 337-341 0932-0067 284:2<337 2011 284 404 https://doi.org/10.1007/s00404-010-1671-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1671-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Selo-Ojeme Dan Department of Obstetrics and Gynaecology, Women and Children's Directorate, Barnet and Chase Farm Hospitals NHS Trust, Chase Farm Hospital, The Ridgeway, Enfield, UK aut NATIONALLICENCE 700 1- Rogers Cathy Department of Obstetrics and Gynaecology, Women and Children's Directorate, Barnet and Chase Farm Hospitals NHS Trust, Chase Farm Hospital, The Ridgeway, Enfield, UK aut NATIONALLICENCE 700 1- Mohanty Ashok Department of Obstetrics and Gynaecology, Women and Children's Directorate, Barnet and Chase Farm Hospitals NHS Trust, Chase Farm Hospital, The Ridgeway, Enfield, UK aut NATIONALLICENCE 700 1- Zaidi Naseem Department of Obstetrics and Gynaecology, Women and Children's Directorate, Barnet and Chase Farm Hospitals NHS Trust, Chase Farm Hospital, The Ridgeway, Enfield, UK aut NATIONALLICENCE 700 1- Villar Rose Department of Obstetrics and Gynaecology, Women and Children's Directorate, Barnet and Chase Farm Hospitals NHS Trust, Chase Farm Hospital, The Ridgeway, Enfield, UK aut NATIONALLICENCE 700 1- Shangaris Panicos Department of Obstetrics and Gynaecology, Women and Children's Directorate, Barnet and Chase Farm Hospitals NHS Trust, Chase Farm Hospital, The Ridgeway, Enfield, UK aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/2(2011-08-01), 337-341 0932-0067 284:2<337 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer