title: Relation between induced labour indications and neonatal morbidity.
abstract: OBJECTIVE
  To assess the main neonatal morbidity results in relation to induced labour indications.
  
  
  METHODS
  Historical groups from a total of 3,817 deliveries over a three year period (2009, 2010 and 2011) in "Mancha-Centro" Hospital (Alcázar de San Juan) formed the study group. All programmed and non-avoidable caesarean sections and pregnancies under 35 weeks were excluded. The main variable result was a neonatal morbidity variable made up of the Apgar score after 5 min, pH of umbilical artery <7.10 and the neonatal need for resuscitation type III-V. Multivariate analysis was used to control confounding variables.
  
  
  RESULTS
  The incidence of induced labour was 22.6 % (862). The highest indication was premature rupture of membranes for more than 12 h 22.8 % (190), poorly controlled diabetes 22.6 % (189) and oligoamnios 16.2 % (135). The rate of pH lower than 7.10 was 2.8 % (22), the rate of the Apgar score lower than 7 after 5 min was 0.2 % (2) and the neonatal need for resuscitation type III-IV was 5.7 % (48) for induced labour. The relation between induced labour and neonatal morbidity indicators were not statistically significant. 10.1 % (4) of induced labour for suspected intrauterine growth restriction and 8.6 % (10) of postterm pregnancies required neonatal resuscitation type III-IV.
  
  
  CONCLUSIONS
  No relation was found between induced labour and the neonatal morbidity indicators. The highest neonatal risk indicator is when a intrauterine growth restriction, hypertensión/preeclampsia or a postterm pregnancy is suspected.
authors.affiliation: Obstetrics Unit, Gerencia de Atención Integrada de Alcazar de San Juan, Ciudad Real, Spain, C/Gerona 25, Tomelloso, 13700, Ciudad Real, Spain, antomatron@gmail.com.
authors.forename: Antonio
authors.initials: A
authors.lastname: Hernández-Martínez
authors.forename: Ana Isabel
authors.initials: AI
authors.lastname: Pascual-Pedreño
authors.forename: Ana Belén
authors.initials: AB
authors.lastname: Baño-Garnés
authors.forename: Maria
authors.initials: M
authors.lastname: Del Rocío Melero-Jiménez
authors.forename: Milagros
authors.initials: M
authors.lastname: Molina-Alarcón
mesh_terms: D000293:Adolescent; D000328:Adult; D001034:Apgar Score; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D005260:Female; D005317:Fetal Growth Retardation / Q000453:epidemiology*; D005322:Premature Rupture of Fetal Membranes / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D007745:Labor Onset; D007751:Labor, Induced / Q000379:methods / Q000706:statistics & numerical data*; D008423:Maternal Age; D009017:Morbidity; D015999:Multivariate Analysis; D011225:Pre-Eclampsia / Q000453:epidemiology; D011247:Pregnancy; D012189:Retrospective Studies; D014469:Umbilical Arteries / Q000502:physiology; D055815:Young Adult