Фундаментальная и клиническая медицина (Sep 2018)
PREGNANCY AND CHILDBIRTH OUTCOMES AFTER LABOR INDUCTION
Abstract
Aim. To study the course of pregnancy and labor in patients with labor induction. Materials and Methods. I retrospectively reviewed 216 case histories of women admitted to Podgorbunskiy Regional Clinical Emergency Hospital in 2016, half of which (n = 108) experienced labor induction. Inclusion criteria were 3741 weeks of gestation, induced labor, and singleton pregnancy. Exclusion criteria were preterm birth and cesarean section. Results. Indications for labor induction included exacerbation of somatic disorders (42/108, 38.9%), pre-eclampsia (33/108, 30.6%), postterm pregnancy (27/108, 25.0%), and premature rupture of membranes (16/108, 14.8%) patients. Out of 108 patients with induced labor, only 10 (9.3%) patients had Bishop's score < 6 SHAPE \* MERGEFORMAT while 69 (63.9%) patients had Bishop's score ≥ 8. Further, 10 (9.3%) patients with induced labor had placenta previa, 12 (11.1%) were diagnosed with oligohydramnios or polyhydramnios, and 29 (26.9%) women had impaired fetal heart rate. The most common complications of induced as compared to non-induced labor were traumatic delivery (OR=7,857 (4,15514,856), р=0,038) and labor abnormalities OR=13,549 (4,625-39,693), р=0,045 including weak uterine contractions (OR=12,793 (2,91856,080), р=0,048,and abnormal uterine activity (OR=19,989 (2,609-153,129), р=0,013). Conclusions. Labor induction is associated with traumatic delivery and higher risk of labor abnormalities.
