Data comparison between pharmacological induction of labour and spontaneous delivery. A single centre experience

作者：Granese, Roberta^*; Calagna, Gloria; Sollano, Alessandro; Mondello, Stefania; Sicilia, Angela; Grasso, Roberta; Cucinella, Gaspare; Triolo, Onofrio

来源：Ginekologia Polska, 2016, 87(10): 697-700.

DOI：10.5603/GP.2016.0070

• induction of labour
• spontaneous labour
• neonatal outcome
• prostaglandin E2

Objectives: To assess the differences in the maternal and fetal outcomes between pharmacological induced and spontaneous labour in nulliparous women.
Material and methods: Observational cohort study carried out over a period of 2 years. Inclusion criteria: nulliparous singleton pregnancies, with cephalic fetal presentation, elective labour induction with intra-vaginal prostaglandin E2 (PGE2) gel (Prepidil (R) 2 mg) at a gestational age of 41 weeks. Control group: patients who entered labour spontaneously at a gestational age of >= 40 weeks. The main demographic maternal characteristics and intra-and postpartum data were extracted from computer records and obstetrics diaries and were used for the analysis.
Results: One hundred and three patients with induction of labour and 97 with spontaneous labour were enrolled. Cesarean delivery was performed in 18 cases (17.5%), all in the induction group. There were no differences in newborn weights between the 2 groups while both the 1-minute and 5-minute Apgar scores were significantly higher in the spontaneous group (p = 0.014 and p = 0.0003, respectively). Women in the induction group had a significantly longer duration of I stage labour in comparison with spontaneous group (p < 0.0001).
Conclusions: Primiparous women whose labour was induced spent a longer time in labour than women who presented in spontaneous labour. Clinicians should keep in mind that a slow rate of dilation in a woman being induced may be normal. For this reason, an arrest diagnosis needs to be carefully considered.

• 出版日期2016