title: Study of the Risk Factors for Cesarean Delivery in Induced Labors at Term.
abstract: BACKGROUND
  Induction of labor has become one of the most common interventions in obstetrics. Induction is indicated when the benefits to either mother or fetus outweigh those of continuing the pregnancy. Maternal complication rates that are increased in association with labor induction include cesarean delivery, chorioamnionitis, abruptio placentae, and uterine atony. So identifying those pregnancies that can be induced with low risk of cesarean delivery is important. The aim of this study was to identify those factors which influence the risk of emergency cesarean delivery in induced labors at term.
  
  
  METHODS
  It is a case-control study conducted at Tertiary care center and affiliated hospitals. In this study, odds ratio with 95 % confidence interval is taken as a measure of relative risk. Patients were evaluated for risk factors for cesarean section using logistic regression. Cases include all women who were induced at term and delivered by emergency cesarean section. Controls include all women who were induced at term and delivered vaginally.
  
  
  RESULTS
  The risk factors for cesarean delivery are advanced maternal age at delivery (≥35 years), high early pregnancy body mass index (≥30 kg/m(2)), nulliparity, low preinduction Bishops score (<5), gestational diabetes mellitus, and intrauterine growth restriction.
  
  
  CONCLUSIONS
  Women with multiple risk factors for cesarean can be taken up for elective cesarean section rather than inducing them at term.
authors.affiliation: Department of Obstetrics and Gynecology, Military Hospital Gopalpur, C/O 56 APO, 900403 India.
authors.forename: Nilesh
authors.initials: N
authors.lastname: Mhaske
authors.affiliation: Department of Obstetrics and Gynecology, Armed Forces Medical College, Pune, 411040 Maharashtra India.
authors.forename: Raju
authors.initials: R
authors.lastname: Agarwal
authors.affiliation: Department of Obstetrics and Gynecology, Armed Forces Medical College, Pune, 411040 Maharashtra India.
authors.forename: R D
authors.initials: RD
authors.lastname: Wadhwa
authors.affiliation: Department of Community Medicine, Armed Forces Medical College, Pune, 411040 Maharashtra India.
authors.forename: D R
authors.initials: DR
authors.lastname: Basannar
keywords: Cesarean delivery; Induction of labor; Risk factors