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Defining Failed Induction of Labor

Grobman, W.A.; Bailit, J.; Lai, Y.; Reddy, U.M.; Wapner, R.J.; Varner, M.W.; Thorp, J.M. Jr; Leveno, K.J.; Caritis, S.N.; Prasad, M.; Tita, A.T.N.; Saade, G.; Sorokin, Y.; Rouse, D.J.; Blackwell, S.C.; Tolosa, J.E. for the Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network

Obstetric Anesthesia Digest: December 2018 - Volume 38 - Issue 4 - p 215
doi: 10.1097/01.aoa.0000547313.79293.f8
Mother, Fetus, Neonate

(Am J Obstet Gynecol. 2018;218:122.e1–122.e8)

Labor is induced in approximately a quarter of pregnant women. When a laboring patient spends an extended period of time in the latent phase, clinicians must decide whether it would be beneficial to continue labor. There is no consensus on the criteria for labeling labor as “failed,” which is important in decreasing unnecessary cesarean deliveries. This study aimed to analyze the maternal and neonatal outcomes associated with the length of the latent phase of labor in a large population of nulliparous women.

Department of Obstetrics and Gynecology of Northwestern University, Chicago, IL

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