Titre :

Prognostic factors for successful induction of labor in intrauterine growth restriction after 36 weeks of gestation.

Auteur(s) :

Metrop, Manon [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Leblanc, Florence [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Cailliau, Emeline [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Subtil, Damien [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Debarge, Veronique [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Garabedian, Charles [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Ghesquière, Louise [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Titre de la revue :

European Journal of Obstetrics & Gynecology and Reproductive Biology

Nom court de la revue :

Eur J Obstet Gynecol Reprod Biol

Numéro :

276

Pagination :

213-218

Date de publication :

2022-08-09

ISSN :

1872-7654

Mot(s)-clé(s) en anglais :

Intra Uterine growth restriction
Induction of labor
Vaginal delivery
Caesarean
Perinatal outcome

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Objective In comparison to eutrophic fetuses, intra uterine growth restriction fetuses (IUGR) have a higher risk of perinatal morbi-mortality. There are no guidelines on the labor induction of labor (IOL) method to be ...
Lire la suite >Objective In comparison to eutrophic fetuses, intra uterine growth restriction fetuses (IUGR) have a higher risk of perinatal morbi-mortality. There are no guidelines on the labor induction of labor (IOL) method to be performed in IUGR. The main objective was to determine fetal and maternal predictive factors of successful induction in IUGR fetuses from 36 weeks. Study design We conducted a retrospective cohort single-center study including 320 women with a cephalic fetal presentation. Labour was induced after 36 weeks for suspected IUGR between January 2013 and December 2019. Results Among the 320 patients, 246 were delivered vaginally (76.9 %) and 74 had a cesarean (23.1 %). Prognostic factors for successful IUGR induction were nonscarring uterus (OR 8.41; 95 %CI [2.92–24.21]), absence of preeclampsia (OR 7.14; 95 %CI [2.42–21.03]), multiparity (OR 4.32; 95 %CI [1.83–10.18]), normal fetal heart rate before IOL (OR 2.99; 95 %CI [1.24–7.22]) and BMI < 30 (OR 3.54; 95 %CI [1.62–7.72]). Doppler abnormalities, method and number of line of IOL, cervical evaluation were not significant in our study. Conclusion The prognostic factors for successful IUGR induction are essentially maternal. Thus, a low BMI, multiparity, nonscarring uterus, absence of preeclampsia, and a normal FHR are good prognostic factors in IUGR induction.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
CHU Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Date de dépôt :

2023-11-15T03:33:52Z
2024-04-15T08:57:39Z