Labor induction in patients with previous cesarean section

Charles Adair, Luis Sanchez-Ramos, Francisco L. Gaudier, Andrew M. Kaunitz, Daniel C. McDyer, Donna Briones

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

To determine the efficacy and safety of labor induction in patients previously delivered by at least one low transverse cesarean section, a retrospective review was done at a single tertiary perinatal center, the University of Florida Health Science Center, Jacksonville. All patients with a previous cesarean section who required labor induction from 1988 until the end of 1992 were identified. Duration and outcome of labor induction, including mode of delivery, maternal and perinatal morbidity, and birth trauma, were evaluated. Of 160 patients with a previous cesarean, 50 (31.3%) had a repeat operation compared to 18 (11.2%) in the no previous cesarean group (p = 0.001, odds ratio = 3.59; 95% confidence interval, 1.98, 6.49). Women in the cesarean group had a higher incidence of operative vaginal deliveries, prolonged duration of the first and second stages of labor, rate and maximum dose of oxytocin infusion. One patient in the previous cesarean group experienced uterine rupture. There was no difference in the rate of infants with low 5-minute Apgar scores or with cord pH values less than 7.20. Labor induction in women with previous low transverse cesarean sections results in an acceptable rate of vaginal delivery and appears safe for both mother and fetus.

Original languageEnglish (US)
Pages (from-to)450-454
Number of pages5
JournalAmerican Journal of Perinatology
Volume12
Issue number6
DOIs
StatePublished - Jan 1 1995
Externally publishedYes

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Induced Labor
Cesarean Section
Mothers
Second Labor Stage
Uterine Rupture
First Labor Stage
Apgar Score
Oxytocin
Fetus
Odds Ratio
Parturition
Confidence Intervals
Morbidity
Safety
Incidence
Health
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Adair, C., Sanchez-Ramos, L., Gaudier, F. L., Kaunitz, A. M., McDyer, D. C., & Briones, D. (1995). Labor induction in patients with previous cesarean section. American Journal of Perinatology, 12(6), 450-454. https://doi.org/10.1055/s-2007-994519

Labor induction in patients with previous cesarean section. / Adair, Charles; Sanchez-Ramos, Luis; Gaudier, Francisco L.; Kaunitz, Andrew M.; McDyer, Daniel C.; Briones, Donna.

In: American Journal of Perinatology, Vol. 12, No. 6, 01.01.1995, p. 450-454.

Research output: Contribution to journalArticle

Adair, C, Sanchez-Ramos, L, Gaudier, FL, Kaunitz, AM, McDyer, DC & Briones, D 1995, 'Labor induction in patients with previous cesarean section', American Journal of Perinatology, vol. 12, no. 6, pp. 450-454. https://doi.org/10.1055/s-2007-994519
Adair C, Sanchez-Ramos L, Gaudier FL, Kaunitz AM, McDyer DC, Briones D. Labor induction in patients with previous cesarean section. American Journal of Perinatology. 1995 Jan 1;12(6):450-454. https://doi.org/10.1055/s-2007-994519
Adair, Charles ; Sanchez-Ramos, Luis ; Gaudier, Francisco L. ; Kaunitz, Andrew M. ; McDyer, Daniel C. ; Briones, Donna. / Labor induction in patients with previous cesarean section. In: American Journal of Perinatology. 1995 ; Vol. 12, No. 6. pp. 450-454.
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