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Title: Risk factors for cesarean delivery in preterm, term and post-term patients undergoing induction of labor with an unfavorable cervix. Author: Ennen CS, Bofill JA, Magann EF, Bass JD, Chauhan SP, Morrison JC. Journal: Gynecol Obstet Invest; 2009; 67(2):113-7. PubMed ID: 18971583. Abstract: BACKGROUND/AIMS: To identify risk factors for cesarean delivery in patients with an unfavorable cervix undergoing an indicated induction of labor. METHODS: This is a secondary analysis of combined data from three prospective randomized trials comparing cervical ripening methods in singleton pregnancies with an unfavorable cervix seeking to identify risk factors for cesarean delivery. RESULTS: Nine hundred and five women underwent an induction of labor for a variety of indications. Gestational age ranged from 27.0-42.8 weeks (mean of 37.8 weeks) and initial Bishop's score from 0-6 (mean 2.5). There were 613 vaginal deliveries (67.7%) and 292 cesarean deliveries (32.2%). Factors associated with an increased risk for cesarean delivery included nulliparous status, Bishop's score <or=1, body mass index >40 and diabetes mellitus. CONCLUSIONS: Risk factors for cesarean delivery in women undergoing an indicated induction include a low Bishop's score, high BMI, nulliparity and diabetes.[Abstract] [Full Text] [Related] [New Search]