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RISS 인기검색어
- 검색키워드
- 저자 : ( Ilyeo Jang ) (검색결과 2 건)
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( Minji Kim ),( Sir Yeon Hong ),( Yejin Kim ),( Yun Sun Choi ),( Ilyeo Jang ),( Ji Hee Sung ),( Suk Joo Choi ),( Soo Young Oh ),( Cheong Rae Roh ) 대한산부인과학회 2022 대한산부인과학회 학술대회 Vol.108 No.-
Objective: We compared the maternal and neonatal outcomes between elective labor induction versus spontaneous labor or rupture of membranes in women with non-complicated singleton pregnancies who tried labor after 39 weeks of gestation. Methods: This was a retrospective cohort study of 342 women with singleton pregnancy who tried labor after 39 weeks of gestation in a single institution between 2018 and 2021. Pregnant women who delivered before 39 weeks of gestation, who delivered by elective cesarean section, or with multiple gestation or complicated pregnancy were excluded. Subjects were categorized into two groups: pregnant women who underwent elective labor induction (induction group) and pregnant women who had spontaneous labor or rupture of membranes (spontaneous group). Pregnancy outcomes and neonatal outcomes were reviewed. Subgroup analyses were done in nulliparous and multiparous women. Results: Maternal characteristics were similar in the two groups. Cesarean section rate was significantly higher in the induction group than the spontaneous group (27.0% vs. 14.6%, P=0.005). However, the indications for cesarean delivery were significantly different between the two groups: induction failure (35.4% vs. 0%), failure to progress (64.6% vs. 79.2%), and fetal distress (0% vs. 20.8%) in the induction group and spontaneous group (P<0.001), respectively. Postoperative complications were comparable between the two groups, but postoperative hemoglobin drop more than 10% was significantly more common in the induction group. Neonatal outcomes were similar between the two groups. In nulliparous women, cesarean section rate was significantly higher in the induction group (37.0% vs. 20.2%, P=0.004). Conclusion: Elective labor induction in non-complicated singleton women at 39 weeks of gestation was associated with a higher cesarean section rate than spontaneous labor or rupture of membranes. And this was mostly due to a higher rate of cesarean delivery for induction failure in nulliparous women.
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( Yeon-jin Yang ),( Sir-yeon Hong ),( Yejin Kim ),( Yun-sun Choi ),( Ilyeo Jang ),( Minji Kim ),( Ji-hee Sung ),( Suk-joo Choi ),( Soo-young Oh ),( Cheong-rae Roh ) 대한산부인과학회 2022 대한산부인과학회 학술대회 Vol.108 No.-
Objective: To assess the pregnancy and neonatal outcomes according to scheduled timing of cesarean delivery on maternal request (CDMR). Methods: This was a retrospective cohort study of 344 women with singleton pregnancy who underwent CDMR in a single institution between 2010 and 2021. Pregnant women who received cesarean delivery, preterm delivery, multiple pregnancy, and complicated pregnancy were excluded. Subjects were categorized into 4 groups according to the scheduled gestational age at delivery: 37-week (n=18), 38-week (n=148), 39-week (n=149), ≥40-week (n=29) groups. Pregnancy outcome and neonatal outcome were reviewed. Results: The rate of emergency CDMR was higher in the 38-week (8.1%) and 39-week (10.7%) group compared to the 37-week (0%) and 40-week (3.4%) group, but the difference was not statistically significant. Birth weight significantly increased with advancing gestational age, and the rate of large-for-gestational age (LGA) increased with advancing gestational age (0%, 10.8%, 16.1%, 31.0% in the 37-week, 38-week, 39-week, ≥40-week group, respectively, P=0.02), with highest rate in the ≥40-week group. Other outcome including postpartum hemorrhage, cesarean section wound complications, and neonatal outcomes were comparable among 4 groups, but meconium staining increased with advancing gestational age. Conclusion: According to our study results, timing of scheduled CDMR was not associated with adverse pregnancy or neonatal outcome in non-complicated singleton pregnancies. However, the sample size of our study was too small, especially those in the 37-week and ≥40-week group, and further study with an adequate sample size are needed.
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