Title :

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

Author(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

Journal title :

European Journal of Obstetrics & Gynecology and Reproductive Biology

Abbreviated title :

Eur J Obstet Gynecol Reprod Biol

Volume number :

276

Pages :

213-218

Publication date :

2022-08-09

ISSN :

1872-7654

English keyword(s) :

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

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [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 ...
Show more >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.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
CHU Lille

Collections :

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

Submission date :

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