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Induction linked to doubling of cesarean rate in nulliparas. (Data from one Hospital System).
RANCHO MIRAGE, CALIF. -- The cesarean delivery rate doubled when nulliparous women were induced in a large community hospital system, Dr. David P. Johnson reported at the annual meeting of the Pacific Coast Obstetrical and Gynecological Society.
The C-section rate was especially high, 31.5%, among nulliparous patients who were induced despite an unfavorable cervix, defined as having a Bishop score at induction of
Dr. Johnson, a Portland, Ore., ob.gyn., performed a secondary data analysis on information collected during an ill-fated C-section reduction program in three Portland-area hospitals during the late 1990s. The program did not lower C-section rates and "interest has dropped," he said.
Nonetheless, the tracking of 20,000 deliveries in the Providence Health System offers valuable insight into risk factors and the route of delivery.
In this study, Dr. Johnson and associates reviewed records of 7,282 nulliparous women with singleton births and gestations between 37 and 43 weeks. Patients with scheduled C-sections and/or breech presentations were excluded.
In all, 4,635 women (64%) went into labor spontaneously and had a C-section rate of 11.5%.
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- Combination helps nulliparous women: PG[E.sub.2] plus foley catheter speeds...
- Magazine article from: OB GYN News Zoler, Mitchel L. July 1, 2004 700+ words
...time needed for cervical ripening in nulliparous women, compared with using a Foley catheter...Combined treatment may be appealing to nulliparous women who would benefit from a shorter...preinduction cervical ripening. Among nulliparous women, addition of PG[E.sub.2...
- Risk factors for urine leakage in nulliparous women identified.
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...evaluating urinary incontinence in nulliparous women, researchers suggest. K. Eliasson...traditional factors concerning UL in nulliparous women." Eliasson and coauthors published...Prevalence of urinary leakage in nulliparous women with respect to physical activity...
- Nulliparous women: high prepregnancy BMI linked to failed induction; Excessive...
- Magazine article from: OB GYN News Mulcahy, Nicholas July 1, 2004 700+ words
PHILADELPHIA -- Nulliparous women with a prepregnancy body mass index in the overweight, obese...1998 to 1999 in the state of Missouri and included 14,703 nulliparous women with single births who were induced prior to spontaneous...
- Delayed Pushing Okay in Nulliparous Women.
- Magazine article from: OB GYN News KIRN, TIMOTHY F. March 15, 2001 700+ words
BEAVER CREEK, COLO. -- Nulliparous women in labor can be allowed to delay pushing with a relative degree of safety, Dr. Michael P. Nageotte said at a perinatal conference...
- 'Mobile' epidurals more likely to preserve bladder function. (Study of 1,054...
- Magazine article from: OB GYN News DeMott, Kathryn August 1, 2002 700+ words
...current analysis was based on data from the Comparative Obstetric Mobile Epidural Trial (COMET). In that study, 1,054 nulliparous women were randomized to receive either traditional epidural analgesia or one of two mobile regimens: combined spinal epidural...
- Community Hospital Lowers C-Section Rate to 11%.
- Magazine article from: OB GYN News BATES, BETSY February 15, 2001 700+ words
...nursing staff reduced the cesarean section rate at their community hospital...of what our appropriate c-section rate would be, but we thought we...women and by almost a third in nulliparous women. Sixty percent of patients...
- Fetal rotation reduced cesarean section rate.(NEWS)
- Magazine article from: OB GYN News Boschert, Sherry August 1, 2009 700+ words
...C-sections averted would lower the overall U.S. C-section rate by 1.4%, from 31.8% of all deliveries to 30.4...on average than women who were managed expectantly, and nulliparous women in the rotation group were delivered 40 minutes earlier...
- C-Section Rate Unaffected by Elective Epidurals.
- Magazine article from: OB GYN News Moon, Mary Ann September 15, 2000 700+ words
...which was not statistically different from the 9.8% rate in the group that did not have access to epidurals. Among nulliparous women, the rate of cesarean sections was 16.9% before the introduction of epidurals and 20% afterward, also a nonsignificant...
Source: HighBeam Research, Induction linked to doubling of cesarean rate in nulliparas. (Data...