Does the Trip down the Birth Canal Take More Time if Labor Is Induced?

Duration of the second stage was not affected by induction, but nulliparas had excess risk for cesarean delivery and postpartum hemorrhage.

In the U.S., almost one quarter of labors are induced. To determine whether induction negatively affects labor's second stage, researchers conducted a retrospective cohort study using medical records from 14,727 women with singleton vertex pregnancies (21% induced and 79% spontaneous labors). The effects of induction on second-stage duration, mode of delivery, and occurrence of complications were evaluated; the influence of parity also was assessed.

Analysis adjusted for confounders (e.g., maternal age, body-mass index, epidural use) showed no difference in mean second-stage duration for induced versus spontaneous labors in nulliparas (102 and 103 minutes) or multiparas (31 and 30 minutes); risk for prolonged second stage also did not differ…

Reviewing Author

Diane J. Angelini, EdD, CNM, FACNM, FAAN, NEA-BC

Disclosures

RoyaltiesOB Triage: Emergency Care Protocols (Springer Publications)

Editorial boardsJournal of Perinatal and Neonatal Nursing

Diane J. Angelini, EdD, CNM, FACNM, FAAN, NEA-BC

Disclosures

RoyaltiesOB Triage: Emergency Care Protocols (Springer Publications)

Editorial boardsJournal of Perinatal and Neonatal Nursing

Does the Trip down the Birth Canal Take More Time if Labor Is Induced?

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Reviewing Author