AIM OF THE STUDY: To assess whether nuchal cord entanglement would affect the outcome of elective labour induction. METHOD: In a group of pregnant women, the outcome of elective labour induction was evaluated in relation to a list of possibly related variables, including the presence of nuchal cord at delivery. RESULTS: Overall 184 women submitted to induction of labour were prospectively examined. Vaginal delivery was observed in 141 women (76.6%), with 105 of them (or 57%) having been delivered within 24 h from induction. At delivery, nuchal cord was detected in 59 out of 184 neonates (32%). Among the pre-induction and post-induction variables, only parity ≥ 1 (OR 3.44; 95% CI: 1.67-7.06) and a Bishop score ≥ 5 (OR 3.59; 95% CI: 1.93-6.70) appeared statistically associated with the success of induction. The chance of vaginal delivery within 24 hours from labour induction (31/59 or 53% vs 74/125 or 59%; OR: 0.92; 95% CI: 0.75-1.12) were comparable among the neonates with and without nuchal cord at birth. CONCLUSIONS: In women undergoing cervical ripening, multiparity and a favourable cervical score seem the only factors that predict a successful induction. An entangled cord around the fetal neck does not seem to increase the risk of induction failure.

Nuchal cord entanglement and outcome of labour induction / Ghi, Tullio; D'Emidio, Laura; Morandi, Raffaella; Casadio, Paolo; Pilu, Gianluigi; Pelusi, Giuseppe. - In: JOURNAL OF PRENATAL MEDICINE. - ISSN 1971-3282. - 1:4(2007), p. 57-60.

Nuchal cord entanglement and outcome of labour induction

GHI, Tullio;
2007

Abstract

AIM OF THE STUDY: To assess whether nuchal cord entanglement would affect the outcome of elective labour induction. METHOD: In a group of pregnant women, the outcome of elective labour induction was evaluated in relation to a list of possibly related variables, including the presence of nuchal cord at delivery. RESULTS: Overall 184 women submitted to induction of labour were prospectively examined. Vaginal delivery was observed in 141 women (76.6%), with 105 of them (or 57%) having been delivered within 24 h from induction. At delivery, nuchal cord was detected in 59 out of 184 neonates (32%). Among the pre-induction and post-induction variables, only parity ≥ 1 (OR 3.44; 95% CI: 1.67-7.06) and a Bishop score ≥ 5 (OR 3.59; 95% CI: 1.93-6.70) appeared statistically associated with the success of induction. The chance of vaginal delivery within 24 hours from labour induction (31/59 or 53% vs 74/125 or 59%; OR: 0.92; 95% CI: 0.75-1.12) were comparable among the neonates with and without nuchal cord at birth. CONCLUSIONS: In women undergoing cervical ripening, multiparity and a favourable cervical score seem the only factors that predict a successful induction. An entangled cord around the fetal neck does not seem to increase the risk of induction failure.
Nuchal cord entanglement and outcome of labour induction / Ghi, Tullio; D'Emidio, Laura; Morandi, Raffaella; Casadio, Paolo; Pilu, Gianluigi; Pelusi, Giuseppe. - In: JOURNAL OF PRENATAL MEDICINE. - ISSN 1971-3282. - 1:4(2007), p. 57-60.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2784533
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