Article (Scientific journals)
L’induction élective du travail chez la patiente nullipare : stop ou encore ?
TREMBLAY LEMOINE, Pierre Luc; Van Linthout, Christine; Emonts, Patrick et al.
2020In Revue Médicale de Liège, 75 (10), p. 676-681
Peer reviewed
 

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Keywords :
Cesarean Section; Female; Humans; Labor, Induced; Pregnancy; Retrospective Studies; Nulliparous; Induction
Abstract :
[en] In Wallonia, almost one fourth of cesarean sections are performed on nulliparous women with vertex nonanomalous singleton gestations who underwent induction of labor. The purpose of this study is to compare maternal and neonatal outcomes with elective induction of labor versus spontaneous onset of labor. Data for all deliveries at CHU de Liège over a two-year period were obtained. Women with vertex nonanomalous singleton gestations who delivered from 3900 to 40+6 weeks were selected. We tested the association of elective induction and operative vaginal delivery, cesarean section, post-partum hemorrhage, episiotomy and perineal lacerations, length of labor, length of stay, 1-min and 5-min APGAR inferior to 7 and admission to neonatal intensive care unit. Length of stay was significantly longer in all induced women. In nulliparous women, there was a 45 % probability of operative vaginal delivery or cesarean section delivery in those who underwent elective induction of labor. In light of these results, it seems that our policy of elective induction of labor in nulliparous women is causing unnecessary and potentially avoidable interventions.
Disciplines :
Reproductive medicine (gynecology, andrology, obstetrics)
Author, co-author :
TREMBLAY LEMOINE, Pierre Luc ;  Centre Hospitalier Universitaire de Liège - CHU > Département de gynécologie-obstétrique > Service de gynécologie-obstétrique
Van Linthout, Christine ;  Université de Liège - ULiège > Département des sciences cliniques > Gynécologie-Obstétrique
Emonts, Patrick ;  Université de Liège - ULiège > Département des sciences cliniques > Gynécologie - Obstétrique
Kridelka, Frédéric ;  Université de Liège - ULiège > Département des sciences cliniques > Gynécologie-Obstétrique
SEIDEL, Laurence  ;  Centre Hospitalier Universitaire de Liège - CHU > Département de gestion des systèmes d'informations (GSI) > Secteur d'appui à la recherche clinique et biostatistique
CAPELLE, Xavier ;  Université de Liège - ULiège > Département des sciences cliniques > Gynécologie-Obstétrique
Language :
French
Title :
L’induction élective du travail chez la patiente nullipare : stop ou encore ?
Alternative titles :
[en] Elective induction of labor in nulliparous women : should we stop ?
Publication date :
2020
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Liège, Belgium
Volume :
75
Issue :
10
Pages :
676-681
Peer reviewed :
Peer reviewed
Available on ORBi :
since 10 December 2020

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