Does Induction of Labor for Preterm Premature Rupture of Membranes at 34 Weeks of Gestation Increase the Risk for Cesarean Section Erhöht die Geburtseinleitung wegen eines frühen vorzeitigen Blasensprungs ab 34+0 SSW das Risiko für einen Kaiserschnitt
Puhl A, Weiss C, Schneid A, Zahn E, Kraft K, Pretscher J, Faschingbauer F, Beckmann M, Kehl S (2020)
Publication Type: Journal article
Publication year: 2020
Journal
Book Volume: 224
Pages Range: 269-274
Journal Issue: 5
DOI: 10.1055/a-1110-1132
Abstract
Purpose Induction of labor at 34 weeks of gestation is often linked to increased risk for cesarean section. Recently, the PPROMT trial demonstrated a higher cesarean section rate when labor wasinduced for preterm premature rupture of membranes (PPROM). The purpose of this study was thereforeto evaluate the success rate of induction of labor for PPROM at 34 and 35 weeks of gestation in comparison with a higher gestational age. Material and Methods In this historic cohort study, cases with labor inductions for PPROM ≥ 34 weeks of gestation were included. Induction of labor at 34 and 35 weeks of gestation (group 1) were compared with those performed at 36 weeks (group 2) and 37 weeks (group 3). Induction of labor was started 12 to 24 hours after (preterm) premature rupture of membranes. Antibiotics were given routinely. The primary outcome was the rate of cesarean section. Results There were significantly more cesarean sections in group 3 in comparison with group 2 (7 vs. 25, p=0.0136). However, univariable and multiple logistic regression analysis of the primary outcome measure showed that there was no impact of the group affiliation on cesarean section rate. Significant parameters influencing the risk of cesarean section were body mass index and Bishop score. Conclusion Induction of labor for PPROM at 34 weeks of gestation is not associated with an increased rate of cesarean section.
Authors with CRIS profile
Matthias Beckmann
Lehrstuhl für Geburtshilfe und Frauenheilkunde
Sven Kehl
Department of Obstetrics and Gynaecology
Involved external institutions
Klinikverbund Kempten-Oberallgäu
Germany (DE)
Universitätsklinikum Ulm
Germany (DE)
Ruprecht-Karls-Universität Heidelberg
Germany (DE)
Germany (DE)
Universitätsklinikum Ulm
Germany (DE)
Ruprecht-Karls-Universität Heidelberg
Germany (DE)
How to cite
APA:
Puhl, A., Weiss, C., Schneid, A., Zahn, E., Kraft, K., Pretscher, J.,... Kehl, S. (2020). Does Induction of Labor for Preterm Premature Rupture of Membranes at 34 Weeks of Gestation Increase the Risk for Cesarean Section Erhöht die Geburtseinleitung wegen eines frühen vorzeitigen Blasensprungs ab 34+0 SSW das Risiko für einen Kaiserschnitt. Zeitschrift für Geburtshilfe und Neonatologie, 224(5), 269-274. https://doi.org/10.1055/a-1110-1132
MLA:
Puhl, Alexander, et al. "Does Induction of Labor for Preterm Premature Rupture of Membranes at 34 Weeks of Gestation Increase the Risk for Cesarean Section Erhöht die Geburtseinleitung wegen eines frühen vorzeitigen Blasensprungs ab 34+0 SSW das Risiko für einen Kaiserschnitt." Zeitschrift für Geburtshilfe und Neonatologie 224.5 (2020): 269-274.
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