Cited by 152Maternal and Perinatal Health InterventionsPreterm Birth and ChorioamnionitisReproductive Health and Contraception

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Induction of labor in a contemporary obstetric cohort

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Laughon, S. Katherine, Zhang, Jun, Grewal, Jagteshwar, Sundaram, Rajeshwari, Beaver, Julie, Reddy, Uma M.·2012·American Journal of Obstetrics and Gynecology

DOI 10.1016/j.ajog.2012.03.014PMC PMC3361637

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Abstract

Objective We sought to describe details of labor induction, including precursors and methods, and associated vaginal delivery rates.Study design This was a retrospective cohort study of 208,695 electronic medical records from 19 hospitals across the United States, 2002 through 2008.Results Induction occurred in 42.9% of nulliparas and 31.8% of multiparas and elective or no recorded indication for induction at term occurred in 35.5% and 44.1%, respectively. Elective induction at term in multiparas was highly successful (vaginal delivery 97%) compared to nulliparas (76.2%). For all precursors, cesarean delivery was more common in nulliparas in the latent compared to active phase of labor. Regardless of method, vaginal delivery rates were higher with a ripe vs unripe cervix, particularly for multiparas (86.6-100%).Conclusion Induction of labor was a common obstetric intervention. Selecting appropriate candidates and waiting longer for labor to progress into the active phase would make an impact on decreasing the national cesarean delivery rate.

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Authors: Laughon, S. K., Zhang, J., Grewal, J., Sundaram, R., Beaver, J., & Reddy, U. M.
Affiliations: National Institutes of Health (US)
Shanghai Jiao Tong University (CN)
ORCID: Zhang, Jun
Grewal, Jagteshwar
Sundaram, Rajeshwari
Reddy, Uma M.
Venue: American Journal of Obstetrics and Gynecology
Publisher: Elsevier BV
Published: 2012-06
Volume: 206
Issue: 6
Pages: 486.e1-486.e9
ISSN: 0002-9378 (ISSN-L)
DOI: 10.1016/j.ajog.2012.03.014
PMC: PMC3361637
OpenAlex: W2125188401
Cited by: 151
References: 24
Citations by year: 2026: 7 · 2025: 8 · 2024: 8 · 2023: 5 · 2022: 13 · 2021: 12 · 2020: 13 · 2019: 15 · 2018: 10 · 2017: 25 · 2016: 7 · 2015: 10 · 2014: 8 · 2013: 9 · 2012: 1
FWCI: 10.76
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: American Journal of Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: Eunice Kennedy Shriver National Institute of Child Health and Human Development (HHSN267200603425C)
National Institutes of Health (HHSN267200603425C)
Topics: Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Health Sciences › Medicine › Obstetrics and Gynecology › Preterm Birth and Chorioamnionitis
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
Keywords: labor induction, vaginal delivery rate, cesarean section, nulliparous women, multiparous women, cervical ripeness, latent phase of labor, active phase of labor
MeSH terms: Adolescent, Adult, Cesarean Section, Female, Humans, Labor Onset, Labor, Induced, Parity, Pregnancy, Pregnancy Complications, Retrospective Studies, United States, Cohort Studies, Elective Surgical Procedures, Cervical Ripening, Kaplan-Meier Estimate, Young Adult

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Induction of labor in a contemporary obstetric cohort

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