van Gemund N, Hardeman A, Scherjon S A, Kanhai H H H
Department of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands.
Gynecol Obstet Invest. 2003;56(3):133-8. doi: 10.1159/000073771. Epub 2003 Sep 29.
Elective induction of labor has become a widely used procedure in obstetrics. A number of studies have shown an increased incidence of operative deliveries. The objective of this study was to evaluate the rate of interventions in our hospital, including operative delivery.
A matched cohort study in which labor of 122 electively induced women and 122 women with labor with a spontaneous onset were analyzed retrospectively. These women were matched for parity and gestational age.
Pain relief, fetal scalp blood sampling and operative deliveries were recorded more frequently in the electively induced labor group. Cesarean delivery was found in 15% of women with induced labor, and in 1% of labors with a spontaneous onset (relative risk 18 (95% CI 2.4-132.7)). No differences were found in neonatal outcomes.
Elective induction of labor leads to increased intervention rates during labor. The rate of cesarean delivery is high, particular in nulliparous women and multiparous women without a previous vaginal birth.
择期引产已成为产科广泛应用的操作。多项研究表明手术分娩的发生率有所增加。本研究的目的是评估我院包括手术分娩在内的干预率。
一项配对队列研究，对122例择期引产妇女和122例自然发动分娩的妇女的分娩情况进行回顾性分析。这些妇女按产次和孕周进行配对。
择期引产组疼痛缓解、胎儿头皮血采样和手术分娩的记录更为频繁。引产妇女中有15%进行了剖宫产，自然发动分娩的妇女中有1%进行了剖宫产（相对风险18（95%可信区间2.4 - 132.7））。新生儿结局未发现差异。
择期引产导致分娩期间干预率增加。剖宫产率很高，尤其是初产妇和既往无阴道分娩史的经产妇。
