ArticleAmerican journal of obstetrics and gynecology2009
The active management of risk in multiparous pregnancy at term: association between a higher preventive labor induction rate and improved birth outcomes.
Article in American journal of obstetrics and gynecology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
4 citing papers in PubMed.
- Differences in Determinants: Racialized Obstetric Care and Increases in U.S. State Labor Induction Rates.Journal of health and social behavior · 2023Article
- Term Labor Induction and Cesarean Delivery Risk among Obese Women with and without Comorbidities.American journal of perinatology · 2022Article
- Outcomes of Elective Induction of Labor versus Expectant Management among Obese Women at ≥39 Weeks.American journal of perinatology · 2020Article
- Risk factors for cesarean delivery following labor induction in multiparous women.Journal of pregnancy · 2013Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo determine whether exposure of multiparous women to a high rate of preventive labor induction was associated with a significantly lower cesarean delivery rate. STUDY
designRetrospective cohort study involving 123 multiparous women, who were exposed to the frequent use of preventive labor induction, and 304 multiparous women, who received standard management. Rates of cesarean delivery and other adverse birth outcomes were compared in the 2 groups. Logistic regression controlled for confounding covariates.
resultsThe exposed group had a lower cesarean delivery rate (adjusted odds ratio, 0.09; 0.8% vs 9.9%; P = .02) and a higher uncomplicated vaginal delivery rate (odds ratio, 0.53; 78.9% vs 66.4%; P = .01). Exposure was not associated with higher rates of other adverse birth outcomes.
conclusionExposure of multiparous women to a high rate of preventive labor induction was significantly associated with improved birth outcomes, including a very low cesarean delivery rate. A prospective randomized trial is needed to determine causality.
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Registered trials
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