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Exploring the risks associated with induction of labour: a retrospective study using the NIMATS database

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Duff, Carol and Sinclair, Marlene (2000) Exploring the risks associated with induction of labour: a retrospective study using the NIMATS database. Journal of Advanced Nursing, Volume 31 (2). pp. 410-417. [Journal article]

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URL: http://www3.interscience.wiley.com/journal/121440767/issue

DOI: 10.1046/j.1365-2648.2000.01335.x

Abstract

Induction of labour is a valuable obstetric procedure, providing obstetricians with the means to intervene should the health of the fetus be in jeopardy. Currently the most common reason for induction of labour is prolonged pregnancy, as obstetricians and midwives are concerned about the risks of postmaturity such as stillbirth, intrapartum asphyxia and birth trauma which are often associated with prolonged pregnancy ( Lagrew & Freeman 1986). A retrospective comparative study was carried out in a large maternity unit to identify whether or not there was clinical evidence to support a policy of elective induction for post-term pregnancy. Three years' data were extracted from the Northern Ireland Maternity System (NIMATS) by writing new queries to the system. These data on 3262 women who delivered during 1994–96 were analysed to compare the outcomes for women who were induced with women who delivered spontaneously. Although the findings from the study in many instances failed to demonstrate statistical significance between the groups they did however, have important clinical significance. For example, those women who were induced had a 5% higher rate of caesarean section, 17% higher rate of epidural analgesia and on average a greater estimated blood loss. Statistical significance was evident when the apgar scores of the infants were compared; those induced had lower apgars at 1 minute (7·78 in the induced group compared to 7·9 in the spontaneous group [P < 0·01]) and at 5 min (8·99 in the induced group compared to 9·05 in the spontaneous group [P < 0·02]).

Item Type:Journal article
Keywords:induction of labour • risk management • Maternity System Data Sets • retrospective analysis • post-term pregnancy
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Nursing
Research Institutes and Groups:Institute of Nursing and Health Research
Institute of Nursing and Health Research > Maternal, Fetal and Infant Research
ID Code:3794
Deposited By:Professor Marlene Sinclair
Deposited On:27 Jan 2010 12:44
Last Modified:22 Apr 2011 09:39

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