Prospects for induction of labor with oxytocin within 12 hours (perinatal center experience)

Cover Page

Cite item

Abstract

Objective. Demonstrate the expediency and effectiveness of labor induction for more than 6 hours (up to 12 hours of the latent phase).

Materials and methods. A cohort, descriptive, single-center study was conducted. The effectiveness of labor induction with oxytocin for more than 6 hours was estimated. The birth medical histories of 3265 patients of SBHI of Sverdlovsk Region "Yekaterinburg Regional Perinatal Center" from January 2020 to December 2022, who underwent pre-induction and induction of labor, were analyzed.

Results. The group of patients, who underwent induction of labor with oxytocin, was 2261 cases. In 1269 (56.13 %) patients, vaginal delivery occurred after less than 6 hours of labor induction with oxytocin. In 992 patients (43.87 %) induction of labor with oxytocin was continued for more than 6 hours. Only 320 labors resulted in abdominal delivery due to ineffective labor induction, which amounted to 32.3 % (of the number of labor inductions with oxytocin for more than 6 hours) and 14.2 % (of the total number of labor inductions with oxytocin).

Conclusions. Induction of labor with oxytocin for more than 6 hours (up to 12 hours of the latent phase) is reasonable and effective. It allows to avoid abdominal delivery in up to 30 % of patients of the study group.

About the authors

Maria V. Baranova

Yekaterinburg Clinical Perinatal Center

Email: maridoctor@mail.ru
ORCID iD: 0009-0008-4287-7720

obstetrician-gynecologist

Russian Federation, Yekaterinburg

Aleksei M. Ksenofontov

Yekaterinburg Clinical Perinatal Center

Email: Ksen9606@gmail.com
ORCID iD: 0009-0009-3432-9334

obstetrician-gynecologist

Russian Federation, Yekaterinburg

E. V. Shestak

Yekaterinburg Clinical Perinatal Center; Ural State Medical university

Email: maridoctor@mail.ru
ORCID iD: 0000-0003-3445-2956

Candidate of Medical Sciences, Head of the Department of Resuscitation and Intensive Care of Newborns, Head of the Youth Scientific Laboratory of the Central Scientific Research Laboratory, Assistant of the Department of Hospital Pediatrics

Russian Federation, Yekaterinburg; Yekaterinburg

Uliana A. Vagushchenko

Yekaterinburg Clinical Perinatal Center; Ural State Medical university

Author for correspondence.
Email: uljanavagushhenko@rambler.ru
ORCID iD: 0000-0002-0428-6187

Junior Researcher of the Central Research Laboratory

Russian Federation, Yekaterinburg; Yekaterinburg

References

  1. Rouse Dwight J., Weiner Steven J., Bloom Steven L., Varner Michael W., Spong Catherine Y., Ramin Susan M., Caritis Steve N., Grobman William A., et al. Failed labor induction: toward an objective diagnosis. Obstet Gynecol 2011; 117 (2 Pt 1): 267–272. doi: 10.1097/AOG.0b013e318207887a.
  2. Caughey A.B., Cahill A.G., Guise J.-M., Rouse D.J. American College of Obstetricians and Gynecologists (College). Society for Maternal-Fetal Medicine. Am J Obstet Gynecol. 2014; 210 (3): 179–93. doi: 10.1016/j.ajog.2014.01.026.
  3. Declercq et al. BMC Pregnancy and Childbirth (2020) 20: 458. doi: 10.1186/s12884-020-03137-x
  4. Sinkey Rachel G., Blanchard Christina T., Szychowski Jeff M., Ausbeck Elizabeth, Subramaniam Akila, Neely Cherry L., Casey Brian M., Tita Alan T. Elective Induction of Labor in the 39th Week of Gestation Compared With Expectant Management of Low-Risk Multiparous Women. Obstet Gynecol. 2019; 134 (2): 282–287. doi: 10.1097/AOG.0000000000003371.
  5. Grobman William A., Caughey Aaron B. Elective induction of labor at 39 weeks compared with expectant management: a meta-analysis of cohort studies. Am J Obstet Gynecol. 2019; 221 (4): 304–310. doi: 10.1016/j.ajog.2019.02.046. Epub 2019 Feb 25.
  6. Inducing labour NICE guideline [NG207] Published: 04 November 2021
  7. Lorie M. Harper, Aaron B. Caughey, Anthony O. Odibo, Kimberly A. Roehl, Qiuhong Zhao, Alison G. Cahill. Obstet Gynecol 2012; 119 (6): 1113–8. doi: 10.1097/AOG.0b013e318253d7aa.

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Induction methods: a ― group 1; b ― group 2

Download (103KB)
3. Fig. 1. Induction methods: a ― group 1; b ― group 2

Download (88KB)

Copyright (c) 2024 Eco-Vector


 


Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).