High Cesarean Section Rates during Labor Induction in Low Risk, Late-Term Cephalic Pregnancies in a Tertiary Centre
Background: The cesarean section rate is high in countries such as Türkiye, Egypt, and Brazil. The aims of this study were to determine whether the cesarean section rate during labor induction is high in late-term cephalic pregnancies and to evaluate the related factors....
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| Format: | Article |
| Language: | English |
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IMR Press
2025-01-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/52/1/10.31083/CEOG26251 |
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| author | Neslihan Erkal Metin Kaba Yeliz Akpinar Mayir Fatma Elif Isik Eryilmaz |
| author_facet | Neslihan Erkal Metin Kaba Yeliz Akpinar Mayir Fatma Elif Isik Eryilmaz |
| author_sort | Neslihan Erkal |
| collection | DOAJ |
| description | Background: The cesarean section rate is high in countries such as Türkiye, Egypt, and Brazil. The aims of this study were to determine whether the cesarean section rate during labor induction is high in late-term cephalic pregnancies and to evaluate the related factors. Methods: This retrospective descriptive study was conducted with 254 patients with a cephalic fetal presentation who were admitted in the labor unit of a tertiary center for induction of labor (IOL) at ≥41 0/7 weeks of gestation. The patients were evaluated in terms of demographic characteristics, Bishop score, labor induction method (dinoprostone or oxytocin administration), IOL duration, vaginal delivery rate, cesarean section rate, indication for cesarean delivery, 5-min Apgar score, fetal requirement for neonatal resuscitation, oxygen treatment, and neonatal intensive care unit admission. Results: The study population comprised 254 patients, of whom 181 (71.3%) had a vaginal delivery and 73 (28.7%) had a cesarean delivery. To evaluate the factors that affect labor induction failure and cesarean indication, the patients were divided into two groups: the nulliparous (n: 122) and multiparous (n: 132). The cesarean section rates in the nulliparous and multiparous groups were 44.3% (n: 54/122) and 14.4% (n: 19/132), respectively. According to the multivariate logistic regression, being nulliparous, having a male fetus were found to be the associated risk factors for cesarean delivery (p < 0.05). Conclusions: The study results suggest that the cesarean section rate during labor induction is higher in low-risk, late-term cephalic pregnancies. Nulliparity, male fetal sex were risk factors for cesarean delivery. |
| format | Article |
| id | doaj-art-909dbf5717b548a39d9126482a223e75 |
| institution | Kabale University |
| issn | 0390-6663 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-909dbf5717b548a39d9126482a223e752025-01-25T07:14:26ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632025-01-015212625110.31083/CEOG26251S0390-6663(24)02529-6High Cesarean Section Rates during Labor Induction in Low Risk, Late-Term Cephalic Pregnancies in a Tertiary CentreNeslihan Erkal0Metin Kaba1Yeliz Akpinar Mayir2Fatma Elif Isik Eryilmaz3Department of Obstetrics and Gynecology, Antalya Training and Research Hospital, 07100 Antalya, TürkiyeDepartment of Obstetrics and Gynecology, Antalya Training and Research Hospital, 07100 Antalya, TürkiyeDepartment of Obstetrics and Gynecology, Antalya Training and Research Hospital, 07100 Antalya, TürkiyeDepartment of Obstetrics and Gynecology, Antalya Training and Research Hospital, 07100 Antalya, TürkiyeBackground: The cesarean section rate is high in countries such as Türkiye, Egypt, and Brazil. The aims of this study were to determine whether the cesarean section rate during labor induction is high in late-term cephalic pregnancies and to evaluate the related factors. Methods: This retrospective descriptive study was conducted with 254 patients with a cephalic fetal presentation who were admitted in the labor unit of a tertiary center for induction of labor (IOL) at ≥41 0/7 weeks of gestation. The patients were evaluated in terms of demographic characteristics, Bishop score, labor induction method (dinoprostone or oxytocin administration), IOL duration, vaginal delivery rate, cesarean section rate, indication for cesarean delivery, 5-min Apgar score, fetal requirement for neonatal resuscitation, oxygen treatment, and neonatal intensive care unit admission. Results: The study population comprised 254 patients, of whom 181 (71.3%) had a vaginal delivery and 73 (28.7%) had a cesarean delivery. To evaluate the factors that affect labor induction failure and cesarean indication, the patients were divided into two groups: the nulliparous (n: 122) and multiparous (n: 132). The cesarean section rates in the nulliparous and multiparous groups were 44.3% (n: 54/122) and 14.4% (n: 19/132), respectively. According to the multivariate logistic regression, being nulliparous, having a male fetus were found to be the associated risk factors for cesarean delivery (p < 0.05). Conclusions: The study results suggest that the cesarean section rate during labor induction is higher in low-risk, late-term cephalic pregnancies. Nulliparity, male fetal sex were risk factors for cesarean delivery.https://www.imrpress.com/journal/CEOG/52/1/10.31083/CEOG26251cesarean sectioninduced laborlate-term pregnanciesparity |
| spellingShingle | Neslihan Erkal Metin Kaba Yeliz Akpinar Mayir Fatma Elif Isik Eryilmaz High Cesarean Section Rates during Labor Induction in Low Risk, Late-Term Cephalic Pregnancies in a Tertiary Centre Clinical and Experimental Obstetrics & Gynecology cesarean section induced labor late-term pregnancies parity |
| title | High Cesarean Section Rates during Labor Induction in Low Risk, Late-Term Cephalic Pregnancies in a Tertiary Centre |
| title_full | High Cesarean Section Rates during Labor Induction in Low Risk, Late-Term Cephalic Pregnancies in a Tertiary Centre |
| title_fullStr | High Cesarean Section Rates during Labor Induction in Low Risk, Late-Term Cephalic Pregnancies in a Tertiary Centre |
| title_full_unstemmed | High Cesarean Section Rates during Labor Induction in Low Risk, Late-Term Cephalic Pregnancies in a Tertiary Centre |
| title_short | High Cesarean Section Rates during Labor Induction in Low Risk, Late-Term Cephalic Pregnancies in a Tertiary Centre |
| title_sort | high cesarean section rates during labor induction in low risk late term cephalic pregnancies in a tertiary centre |
| topic | cesarean section induced labor late-term pregnancies parity |
| url | https://www.imrpress.com/journal/CEOG/52/1/10.31083/CEOG26251 |
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