Maslovitz Sharon, Shenhav Michael, Levin Ishai, Almog Benjamin, Ochshorn Yifat, Kupferminc Michael, Many Ariel
Department of Obstetrics and Gynecology, Lis Maternity Hospital, Sourasky Medical Center, Tel Aviv, Israel.
Arch Gynecol Obstet. 2009 Feb;279(2):139-43. doi: 10.1007/s00404-008-0685-5. Epub 2008 May 28.
To assess the outcome of induced deliveries with IUGR.
We reviewed the computerized files of parturients who underwent inducted labor because of IUGR (<5th percentile). Outcome assessment included mode of delivery, indication for CS, NICU admissions and 5 min Apgar score. We compared these parameters to a control group of women whose deliveries were induced for other indications.
A total of 836 women with IUGR were included. Mean gestational age and birth weight were 38.2 weeks and 2,114 g, respectively. Overall, 43% of women delivered by non-elective C/S. The rate of non-elective CS for other indications was 12.3% (P < 0.0001) for all deliveries and 23.6% (P < 0.001) for induced deliveries. CS was performed due to non-reassuring FHR in 63% of IUGR fetuses, compared with 27% of all induced deliveries. There were 160 women with IUGR who preferred elective CS. Their newborns' NICU admission and 5 min Apgar score <7 rates were lower than those for induced deliveries (NICU 43.1 and 29.4%, P < 0.05, 5 min Apgar <7 5 and 1%, P < 0.05).
Growth-restricted neonates born after labor induction had higher rates of low Apgar scores and NICU admissions compared to growth restricted neonates delivered by elective C/S. Inductions of labor for IUGR were associated with higher rates of non-elective C/S due to non-reassuring fetal heart rate compared with inductions performed for other indications.
评估因胎儿生长受限（IUGR，低于第5百分位数）而行引产的结局。
我们回顾了因IUGR而接受引产的产妇的电子病历。结局评估包括分娩方式、剖宫产指征、新生儿重症监护病房（NICU）收治情况及5分钟阿氏评分。我们将这些参数与因其他指征而行引产的对照组女性进行了比较。
共纳入836例IUGR女性。平均孕周和出生体重分别为38.2周和2114克。总体而言，43%的女性通过非选择性剖宫产分娩。所有分娩中因其他指征行非选择性剖宫产的比例为12.3%（P<0.0001），引产分娩中这一比例为23.6%（P<0.001）。63%的IUGR胎儿因胎心监护异常而行剖宫产，而所有引产分娩中这一比例为27%。有160例IUGR女性选择了选择性剖宫产。她们新生儿的NICU收治率和5分钟阿氏评分<7的比例低于引产分娩（NICU分别为43.1%和29.4%，P<0.05；5分钟阿氏评分<7分别为5%和1%，P<0.05）。
与选择性剖宫产分娩的生长受限新生儿相比，引产出生的生长受限新生儿低阿氏评分和NICU收治率更高。与因其他指征引产相比，因IUGR引产因胎心监护异常导致非选择性剖宫产的比例更高。
