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Is preeclampsia associated with an increased risk of cesarean delivery if labor is induced?
J Matern Fetal Neonatal Med. 2010 May; 23(5):383-8.JM

Abstract

OBJECTIVE

To determine whether preeclampsia is associated with an increased risk of cesarean delivery if labor is induced.

METHODS

This retrospective cohort study of 3505 women >or=24 weeks gestation with singleton pregnancies undergoing labor induction compares cesarean delivery rates between preeclamptics and non-preeclamptics. Multivariable logistic regression analysis was used to control for potential confounders including unfavorable cervix (Bishop score <or=5), method of labor induction, maternal age, parity, gestational age, race/ethnicity, epidural use, medical insurance, and marital status.

RESULTS

Among term nulliparous women undergoing labor induction, preeclamptics had a higher cesarean delivery rate then non-preeclamptics (81/267, 30% vs. 363/1568, 23%; p = 0.011), as did preeclamptic compared with non-preeclamptic women who were term and multiparous (10/64, 16% vs. 55/900, 6%, p = 0.003). Preterm preeclamptics also had more cesarean deliveries compared with non-preeclamptics among nulliparous (48/164, 29% vs. 16/245, 7%; p < 0.001) and multiparous (13/72, 18% vs. 18/225, 8%; p = 0.015) women. In multivariable analysis, preeclampsia still conferred an increased risk of cesarean delivery if labor was induced (adjusted odd ratio = 1.90, 95% CI 1.45-2.48).

CONCLUSION

Women with preeclampsia undergoing labor induction had higher cesarean delivery rates compared with non-preeclamptics regardless of parity or gestational age. However, the majority of women with preeclampsia still had successful vaginal deliveries.

Authors+Show Affiliations

Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, California 94143-0132, USA. kimlh@obgyn.ucsf.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19951010

Citation

Kim, Lena Heesun, et al. "Is Preeclampsia Associated With an Increased Risk of Cesarean Delivery if Labor Is Induced?" The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, vol. 23, no. 5, 2010, pp. 383-8.
Kim LH, Cheng YW, Delaney S, et al. Is preeclampsia associated with an increased risk of cesarean delivery if labor is induced? J Matern Fetal Neonatal Med. 2010;23(5):383-8.
Kim, L. H., Cheng, Y. W., Delaney, S., Jelin, A. C., & Caughey, A. B. (2010). Is preeclampsia associated with an increased risk of cesarean delivery if labor is induced? The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 23(5), 383-8. https://doi.org/10.3109/14767050903168432
Kim LH, et al. Is Preeclampsia Associated With an Increased Risk of Cesarean Delivery if Labor Is Induced. J Matern Fetal Neonatal Med. 2010;23(5):383-8. PubMed PMID: 19951010.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is preeclampsia associated with an increased risk of cesarean delivery if labor is induced? AU - Kim,Lena Heesun, AU - Cheng,Yvonne W, AU - Delaney,Shani, AU - Jelin,Angie Child, AU - Caughey,Aaron B, PY - 2009/12/3/entrez PY - 2009/12/3/pubmed PY - 2010/9/2/medline SP - 383 EP - 8 JF - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians JO - J Matern Fetal Neonatal Med VL - 23 IS - 5 N2 - OBJECTIVE: To determine whether preeclampsia is associated with an increased risk of cesarean delivery if labor is induced. METHODS: This retrospective cohort study of 3505 women >or=24 weeks gestation with singleton pregnancies undergoing labor induction compares cesarean delivery rates between preeclamptics and non-preeclamptics. Multivariable logistic regression analysis was used to control for potential confounders including unfavorable cervix (Bishop score <or=5), method of labor induction, maternal age, parity, gestational age, race/ethnicity, epidural use, medical insurance, and marital status. RESULTS: Among term nulliparous women undergoing labor induction, preeclamptics had a higher cesarean delivery rate then non-preeclamptics (81/267, 30% vs. 363/1568, 23%; p = 0.011), as did preeclamptic compared with non-preeclamptic women who were term and multiparous (10/64, 16% vs. 55/900, 6%, p = 0.003). Preterm preeclamptics also had more cesarean deliveries compared with non-preeclamptics among nulliparous (48/164, 29% vs. 16/245, 7%; p < 0.001) and multiparous (13/72, 18% vs. 18/225, 8%; p = 0.015) women. In multivariable analysis, preeclampsia still conferred an increased risk of cesarean delivery if labor was induced (adjusted odd ratio = 1.90, 95% CI 1.45-2.48). CONCLUSION: Women with preeclampsia undergoing labor induction had higher cesarean delivery rates compared with non-preeclamptics regardless of parity or gestational age. However, the majority of women with preeclampsia still had successful vaginal deliveries. SN - 1476-4954 UR - https://www.unboundmedicine.com/medline/citation/19951010/Is_preeclampsia_associated_with_an_increased_risk_of_cesarean_delivery_if_labor_is_induced L2 - https://www.tandfonline.com/doi/full/10.3109/14767050903168432 DB - PRIME DP - Unbound Medicine ER -