Criteria for failed labor induction: prospective evaluation of a standardized protocol.

摘要: Abstract Objective: To assess the safety and efficacy of a protocol that mandated at least 12 hours oxytocin administration after membrane rupture before cesarean delivery for failed labor induction in latent phase. Methods: Gravidas or beyond 36 weeks’ gestation undergoing indicated with cervical dilatation up to 2 cm were studied prospectively. Prior was an exclusion criterion. If fetal heart rate pattern reassuring, not permitted active phase (4-cm 90% effacement 5-cm regardless effacement) unless membranes had been ruptured administered hours. Results: Five hundred nine women treated according protocol; 360 (71%) nulliparas 149 (29%) parous. Twenty-five percent 9% parous delivered by cesarean. After 6 oxytocin, 14% still phase; 39% whom vaginally, compared 7% 9 (vaginal 28%), 4% 13%). In contrast, only five (3%) Among those, none remained all vaginally. No serious complications. Severe neonatal morbidities infrequent related duration Conclusion: By requiring minimum could be diagnosed, many who safe vaginal deliveries, eliminated as indication women.