Academic Journal
Elective induction of labour and maternal request: a national population‐based study: a national population-based study
| Title: | Elective induction of labour and maternal request: a national population‐based study: a national population-based study |
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| Authors: | Coulm, Bénédicte, Blondel, Béatrice, Alexander, Sophie, Boulvain, M, Le Ray, C |
| Contributors: | Coulm, Bénédicte, Clinical sciences, Obstetrics |
| Source: | BJOG: an International Journal of Obstetrics and Gynaecology (2015) pp. 2191-2197 |
| Publisher Information: | Wiley, 2015. |
| Publication Year: | 2015 |
| Subject Terms: | Obstétrique, Adult, induction of labour, Young Adult, 03 medical and health sciences, Gynécologie, 0302 clinical medicine, Elective, Pregnancy, Maternal request, Induction of labour, Humans, elective, Labor, Induced, Elective Surgical Procedures/statistics & numerical data, Determinants, ddc:618, Patient Preference/statistics & numerical data, maternal request, Patient Preference, 3. Good health, [SDV] Life Sciences [q-bio], [SDV.MHEP.GEO] Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics, Cross-Sectional Studies, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Elective Surgical Procedures, young adult, Female, pregnancy, France, Labor, Induced/statistics & numerical data |
| Description: | ObjectiveTo estimate the rate of elective inductions in France and the proportion of them that were maternally requested, and to study the factors associated with elective inductions that were or were not requested by women.DesignCross‐sectional population‐based study.SettingAll maternity units in France.PopulationAbout 14 681 women from the 2010 French National Perinatal Survey of a representative sample of births.MethodsInductions were classified as elective based on their indications and maternal and fetal characteristics, collected from medical records. Elective inductions requested by women were identified from the mother's postpartum interviews. Polytomous logistic regression analysis was used to study the determinants of inductions that were or were not maternally requested. Women with spontaneous labour served as the comparison group.Main outcome measureRate of elective inductions.ResultsThe induction rate was 22.6, 13.9% elective. Among elective inductions, 47.3% were requested by women. The characteristics of mothers, pregnancies, and maternity units were similar in both groups of elective inductions. The main associated factors were parity 2 or more [adjusted odds ratio (OR) 4.7, 95% confidence interval (CI) 3.1–7.2 for maternally requested inductions and aOR of 1.8 (95% CI1.2–2.7) for unrequested inductions, compared with parity 0] and private hospital status [aOR 4.5 95% (CI 3.3–6.0) for maternally requested inductions and aOR 3.7 (95% CI 2.8–4.9) for inductions not requested by the mother]. We found no association between maternal social characteristics and type of elective induction.ConclusionParity and organisational factors appear to influence the decision about elective inductions. It would be interesting to determine how obstetricians and women make this decision and for what reasons.Tweetable abstractAbout 13.9% of inductions of labour were elective in France, 47.3% of these requested by women. |
| Document Type: | Article |
| File Description: | application/pdf; No full-text files |
| Language: | English |
| ISSN: | 1471-0528 1470-0328 |
| DOI: | 10.1111/1471-0528.13805 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/26615965 https://www.ncbi.nlm.nih.gov/pubmed/26615965 https://pubmed.ncbi.nlm.nih.gov/26615965/ https://europepmc.org/article/MED/26615965 https://difusion.ulb.ac.be/vufind/Record/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/296508/Details https://archive-ouverte.unige.ch/unige:89578 https://core.ac.uk/display/74463924 https://archive-ouverte.unige.ch/unige:89578 https://biblio.vub.ac.be/vubir/(b6d96f2b-4134-4017-b2a2-b21860f22f2b).html |
| Rights: | Wiley Online Library User Agreement |
| Accession Number: | edsair.doi.dedup.....e65f39ef999491e4d0637fb084442813 |
| Database: | OpenAIRE |
| ISSN: | 14710528 14700328 |
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| DOI: | 10.1111/1471-0528.13805 |