Elective Induction Versus Spontaneous Labor: A Case-Control Analysis of Safety and Efficacy

摘要: Objective: To investigate the incidence, efficacy, and safety of elective induction in a community teaching hospital over 1 year. Methods: This is retrospective case-control study rate, safety, efficacy all term inductions with vertex presentations judged to be by chart analysis. Cases were matched one for age, parity, pay status controls spontaneous labor. The women compared those labor using χ2 Student t test, Fisher exact test. Potential risk factors cesarean delivery neonatal intensive care unit (NICU) admission then selected subjected bivariate Stepwise logistic regression was applied control confounding select which important end points. Results: There 461 pairs. rate 12.3%. Cesarean increased analysis (odds ratio [OR] = 1.81, confidence interval [CI] 1.07, 3.08; power .60). 8.7% (control 5.0%). In multiple model potential delivery, nulliparity (OR 6.14, CI 2.90, 13.04), cervical priming 3.06, 1.46, 6.40), oxytocin usage 2.82, 1.03, 7.75), gestational age at least 287 days 2.51, 1.38, 4.58), birth weight 3800 g 2.29, 1.27, 4.13) significant, but epidural anesthesia not. Elective did not significantly increase NICU (4.6% versus 3.9%). predicting admission, only 5-minute Apgar score most 8 significant 12.34, 6.01, 25.3). Conclusion: commonly practiced, safe, efficacious. and/or an unfavorable cervix, among other factors, itself.