Evaluating the impact of a standardized induction protocol to reduce adverse perinatal outcomes: a prospective cohort study.

ABSTRACT:

Objective

Our objective was to evaluate the impact of a standardized induction protocol on reducing maternal and neonatal morbidity in women undergoing an induction with an unfavorable cervix.

Study design

We performed a prospective cohort study of women undergoing an induction from May 2013 to June 2015. Women who were ≥18 years, ≥37 weeks with intact membranes and an unfavorable cervix (Bishop score of ≤6 and cervical dilation ≤2 cm) with no prior cesarean were included. We compared the following outcomes between women managed with the labor protocol versus women in an observation group, managed at the discretion of the provider: Labor length, cesarean delivery, maternal and neonatal morbidity, and neonatal intensive care unit admission for >48 hours. Multivariable models

SUBMITTER: Levine LD 

PROVIDER: S-EPMC7180115 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature