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Labor Induction and Cesarean Delivery: A Prospective Cohort Study of First Births in Pennsylvania USA

Kjerulff, K.H.; Attanasio, L.B.; Edmonds, J.K.; Kozhimannil, K.B.; Repke, J.T.

doi: 10.1097/01.aoa.0000532298.68494.14
Mother, Fetus, Neonate

(Birth. 2017;44(3):252–261)

The rate of induced labor in the United States has risen from 9.6% in 1990 to 23.3% in 2012. Cesarean delivery is associated with higher rates of maternal and neonatal morbidity, and labor induction has been associated with increased risk for cesarean delivery. It is unclear, however, whether this association between labor induction and cesarean delivery is due to intrapartum factors that commonly occur in association with or after labor induction, or if it is due to maternal characteristics or indicators leading to the decision to induce. This study aimed to determine why induced nulliparous women are more likely to deliver via cesarean delivery compared with nulliparous women who are not induced.

Departments of Public Health Sciences and Obstetrics and Gynecology, Penn State University College of Medicine, Hershey, PA

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