Two practice models in one labor and delivery unit: association with cesarean delivery rates

Association of gestational weight gain with cesarean delivery rate after labor induction.

OBJECTIVE To evaluate the association of gestational weight gain with the cesarean delivery (CD) rate in term women undergoing induction of labor (IOL). STUDY DESIGN This is a retrospective cohort study of 2,495 consecutive term women from May 2005 to June 2008 admitted for IOL between 37 and 42 completed weeks of gestation. Labor induction ending in cesarean delivery was defined as a binary ...

Obesity and gestational weight gain: cesarean delivery and labor complications.

OBJECTIVE To assess the association between pre-gestational obesity and weight gain with cesarean delivery and labor complications. METHODS A total of 4,486 women 20-28 weeks pregnant attending general prenatal care clinics of the national health system in Brazil from 1991 to 1995 were enrolled and followed up through birth. Body mass index categories based on prepregnancy weight and total we...

Impact of labor induction, gestational age, and maternal age on cesarean delivery rates.

OBJECTIVE To quantify the impact of labor induction and maternal age on cesarean delivery rates in nulliparous and multiparous women between 36 and 42 weeks' gestation. METHODS We performed a retrospective cohort study on 14,409 women delivering at two teaching hospitals in metropolitan Boston during 1998 and 1999. Women who had contraindications to labor, including a prior cesarean delivery,...

Leading Change on Labor and Delivery: Reducing Nulliparous Term Singleton Vertex (NTSV) Cesarean Rates.

Patient-requested neuraxial analgesia for labor: impact on rates of cesarean and instrumental vaginal delivery.

A systematic review, including a meta-analysis, on the timing effects of neuraxial analgesia (NA) on cesarean and instrumental vaginal deliveries in nulliparous women was conducted. Of 20 articles identified, 9 met the inclusion quality criteria (3,320 participants). Cesarean delivery (odds ratio, 1.00; 95% confidence interval, 0.82-1.23) and instrumental vaginal delivery (odds ratio, 1.00; 95%...