DescriptionInduction of labour is a standard obstetric procedure and the quality and success of it depend on several parameters. There are some discussions on the safety of labour induction for high-risk pregnancies such as twins or vaginal breech birth. The aim of this study was to establish labour induction safety profiles for different patient groups.. This retrospective cohort study was conducted in Riga Maternity Hospital. It included 4264 pregnant women data from March 2017 till July 2022 with a singleton pregnancy, 102 and 369 women with a fetus in breach position. SPSS statistics performed descriptive and analytical statistics, level of significance was set at p<0.05.. Both nulliparous and multiparous singleton women had shorter time from the start of induction to the onset of labour and induction-to-delivery time in the combined method group. The incidence of uterine atony was higher in the induced twin group compared with the spontaneous onset of the twin labour group, 15.7% vs 4.3%, p=0.002, and compared with induced singleton births (3.3%, p=0.0001). From 369 women with breaches, 151 (40,9%) - had an acute cesarean section, 99 (26,8%) - had a planned cesarean section, and 119 (32,2%) had vaginal birth; the mean patient age was 30 years. There was nodifference between the groups in the rates of chorioamnionitis, Caesarean section, the rates of hemotransfusion, uterine dysfunction, newborn Apgar score ≤6 after 1st min, and newborn admission to the Intensive care unit between the groups.
.. Labour induction is safe for all singletons, twins and breaches and their mothers if is conducted in an excellence centre by trained personnel.
|Period||29 Mar 2023|
|Event title||RSU International Research Conference 2023: Knowledge for Use in Practice|
|Organiser||Rīga Stradiņš University|
|Location||Riga, LatviaShow on map|
|Degree of Recognition||International|
Field of Science
- 3.2 Clinical medicine