ArticleBMC pregnancy and childbirth2022
Labor induction in China: a nationwide survey.
Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 19 citations in OpenAlex.
- Comparison of balloon catheter, oral misoprostol, or combination of both for cervical ripening in late-term and post-term nulliparous women: A Finnish randomized controlled multicenter pilot trial.Acta obstetricia et gynecologica Scandinavica · 2025Trial
- Article
- Cervical Ultrasound Assessment vs Bishop Score in Predicting Labor Induction Outcomes Among Nulliparous Women.International journal of women's health · 2026Article
- Comparison of an Ultrasound-Based System and the Bishop Score for Predicting Labor Induction Timing in Singleton Pregnancies at Term: A Prospective Cohort Study.International journal of women's health · 2026Article
- Influence of induction of labor on morphological alterations in the pelvic floor after vaginal delivery determined by 4D transperineal ultrasound.BMC medical imaging · 2025Article
- Midwives' experiences in the clinical management of oxytocin infusion for labor induction and augmentation: a qualitative study.BMC nursing · 2025Article
- The lived experience of mothers who give birth after induction of labour in hospital settings in Southern Ethiopia: a phenomenological study.Reproductive health · 2025Article
- Development of a Model to Predict Cesarean Delivery as the Outcome of a Failed Labor Induction in Singleton Obese Pregnant Women at Term.International journal of women's health · 2025Article
- Use of the WHO partograph and Zhang's guideline for labor and delivery in China: implications for clinical practice.BMC pregnancy and childbirth · 2024Article
- External validation and updating of the Rossi nomogram for predicting cesarean delivery following induction: is the Bishop score valuable?Archives of gynecology and obstetrics · 2024Article
- Associations of primiparous pre-pregnancy body mass index and gestational weight gain with cesarean delivery after induction: a prospective cohort study.Frontiers in medicine · 2024Article
- Prediction model for successful induction of labor by cervical strain elastography diagnosed at late-term pregnancy in nulliparous women: a prospective cohort study.BMC pregnancy and childbirth · 2023Article
- The Association between Cervical Length and Successful Labor Induction: A Retrospective Cohort Study.International journal of environmental research and public health · 2023Article
- Maternal and Neonatal Outcomes of Elective Induction of Labor at 39 or More Weeks: A Prospective, Observational Study.Diagnostics (Basel, Switzerland) · 2022Article
- Comparison of the Dinoprostone Vaginal Insert and Dinoprostone Tablet for the Induction of Labor in Primipara: A Retrospective Cohort Study.Journal of clinical medicine · 2022Article
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8 authors at 5 institutions in 1 country.
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Abstract
backgroundOvermedicalization in labor management and delivery, including labor induction, is an increasing global concern. But detailed epidemiological data on labor induction in China remains unclear.
methodsThis was a cross-sectional study of data (2015-2016) from 96 hospitals in 24 (of 34) Chinese administrative divisions. Multivariable logistic regression analysis was used to assess the association between medical conditions and cesarean delivery among women undergoing induction. Linear regression analysis was performed to assess the association between the prelabor cesarean delivery and labor-induction rates in each hospital. The impacts of labor induction and prelabor cesarean delivery on maternal and neonatal outcomes were compared in low-risk women.
resultsAmong 73 901 eligible participants, 48.1% were nulliparous. The overall weighted rate of labor induction in China was 14.2% (95% CI, 11.1-17.2%), with 18.4% (95% CI, 14.5-22.3%) in nulliparas and 10.2% (95% CI, 7.7-12.8%) in multiparas. Regardless of the induction method, the overall vaginal delivery rate was 72.9% (95% CI, 68.6-77.3%) in nulliparas and 86.6% (95% CI, 79.7-93.5%) in multiparas. Hospitals with a higher rate of nonmedically indicated cesarean delivery had a lower labor-induction rate in nulliparas (β = - 0.57%; 95% CI, - 0.92 to - 0.22%; P = 0.002). Compared with prelabor cesarean delivery, labor induction in low-risk women was not associated with adverse maternal and neonatal outcomes.
conclusionThe 2015-2016 labor-induction rate in China was 18.4% in nulliparas and 10.2% in multiparas. The proportion of prelabor cesarean delivery may contribute to regional differences in the labor-induction rate. Compared with prelabor cesarean delivery, labor induction in low-risk women may not increase severe maternal and neonatal morbidity.
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