McCarthy Claire Marie, Meaney Sarah, McCarthy Michelle, Conners Nicole, Russell Noirin
Cork University Maternity Hospital, Cork, Ireland (Dr C McCarthy, Dr M McCarthy, and Prof Russell).
National Perinatal Epidemiology Centre, University College Cork, Cork University Maternity Hospital, Cork, Ireland (Dr Meaney).
AJOG Glob Rep. 2022 Sep 16;2(4):100099. doi: 10.1016/j.xagr.2022.100099. eCollection 2022 Nov.
Women undergoing induction of labor should be empowered with accurate information.
This study aimed to examine the characteristics of and indications for induction of labor and delivery outcomes to help inform practice and counseling.
We conducted a retrospective cohort study of all singleton pregnancies undergoing induction of labor over a 3-month period in a tertiary-level hospital in the Republic of Ireland. Data were obtained from paper and electronic registries. Descriptive and inferential statistics were performed on data collected.
There were 1084 women delivered, with an induction rate of 46.0% (n=499). Primiparous women were more likely to be induced compared with multiparous women (51.4%; n=254/494 vs 41.5%; n=245/590; <.001), and were more likely to be induced for postmaturity (30.7%; n=78/254 vs 23.6%; 58/245; ≤.001). More than half (50.3%; 251/399) were induced before 40 weeks' gestation, irrespective of parity. Multiparous women and those induced for maternal medical indications had a shorter overall time to delivery interval (21.7 hours [standard deviation, 13.0] vs 13.8 hours [standard deviation, 11.2]; <.001 and 18.3 hours [standard deviation, 12.7] vs 14.7 hours [standard deviation, 12.4]; <.01).
Information on induction of labor can aid in the guidance and education of women undergoing the process, educate clinicians for appropriate counseling, and facilitate shared decision-making.
接受引产的女性应获得准确信息。
本研究旨在探讨引产的特征、指征及分娩结局，以指导临床实践和咨询。
我们对爱尔兰共和国一家三级医院3个月内所有接受引产的单胎妊娠进行了一项回顾性队列研究。数据来自纸质和电子登记册。对收集的数据进行描述性和推断性统计分析。
共1084名女性分娩，引产率为46.0%（n = 499）。初产妇比经产妇更易接受引产（51.4%；n = 254/494 vs 41.5%；n = 245/590；P <.001），且因过期妊娠接受引产的比例更高（30.7%；n = 78/254 vs 23.6%；58/245；P≤.001）。超过一半（50.3%；251/399）的孕妇在妊娠40周前接受引产，与产次无关。经产妇和因母体医学指征接受引产的孕妇总分娩间隔时间较短（分别为21.7小时[标准差13.0] vs 13.8小时[标准差11.2]；P <.001和18.3小时[标准差12.7] vs 14.7小时[标准差12.4]；P <.01）。
引产相关信息有助于指导和教育接受引产的女性，帮助临床医生进行恰当咨询，并促进共同决策。
