Department of Obstetrics and Gynecology, Erlangen University Hospital, Erlangen, Germany
Department of Medical Statistics and Biomathematics, University Medical Center Mannheim, Heidelberg University, Heidelberg, Germany.
In Vivo. 2020 May-Jun;34(3):1195-1200. doi: 10.21873/invivo.11892.
BACKGROUND/AIM: Even though vaginal delivery is a feasible option in patients with preeclampsia, the cesarean section rate in those patients is high. The aim of this study was to evaluate the influence of preeclampsia on induction of labor at term.
This historical cohort study analyzed inductions of labor in women at term having preeclampsia versus women who were induced due to other reasons. The primary outcome measure was the cesarean section rate.
The cesarean section rate was higher in the preeclampsia group for both nulliparous and multiparous women after induction of labor but failed to reach statistical significane. The induction-to-delivery interval was longer in nulliparous women and the rate of vaginal birth within 48 h was lower in the nulliparous patiens with preeclampsia. However, the impact of preeclampsia on the cesarean section rate was not significant in the multivariable analysis following adjustment for BMI and parity.
Preeclampsia at term did not influence the cesarean section rate in nulliparous and parous women when labor was induced.
背景/目的：尽管阴道分娩是子痫前期患者的可行选择，但这些患者的剖宫产率仍然很高。本研究旨在评估子痫前期对足月引产的影响。
这项回顾性队列研究分析了子痫前期患者与因其他原因引产的患者之间足月引产的情况。主要观察指标是剖宫产率。
无论是初产妇还是经产妇，子痫前期组在引产时的剖宫产率均高于其他原因引产组，但未达到统计学意义。初产妇的引产至分娩间隔时间较长，且子痫前期初产妇在 48 小时内阴道分娩的比例较低。然而，在调整 BMI 和产次后进行多变量分析，子痫前期对剖宫产率的影响并不显著。
当进行引产时，足月时的子痫前期并未影响初产妇和经产妇的剖宫产率。
