title: Maternal and perinatal outcomes of indicated inductions of labor.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the labor characteristics and maternal/perinatal consequences following indicated induction of labor.
  
  
  METHODS
  This retrospective study examined all of the indicated inductions over 24 months and at two institutions evaluated mode of delivery (vaginal versus cesarean) as well as a comprehensive list of labor characteristics and maternal/perinatal outcomes.
  
  
  RESULTS
  There were 1577 indicated inductions with 1097/1577 (69.6%) delivering vaginally. Women with a cesarean delivery had lower parity (p < (0).0001) and Bishop's score (p < (0).0001), and higher body mass indices (p = 0.022). Indication for induction due to preeclampsia increased the risk of a cesarean delivery (p = 0.008). Chorioamnionitis, post-partum complications and NICU admissions were greater in the women delivered by cesarean section.
  
  
  CONCLUSIONS
  Indicated inductions which result in cesarean delivery were more likely in women with higher body mass indexes, lower parity, and Bishops scores, as well as preeclampsia.
authors.affiliation: a Department of Obstetrics and Gynecology , University of Arkansas for the Medical Sciences , Little Rock , AR , USA .
authors.forename: Everett F
authors.initials: EF
authors.lastname: Magann
authors.affiliation: b Department of Biostatistics , University of Arkansas for the Medical Sciences , Little Rock , AR , USA , and.
authors.forename: Songthip T
authors.initials: ST
authors.lastname: Ounpraseuth
authors.affiliation: a Department of Obstetrics and Gynecology , University of Arkansas for the Medical Sciences , Little Rock , AR , USA .
authors.forename: Christina D
authors.initials: CD
authors.lastname: Miller
authors.affiliation: c Department of Obstetrics and Gynecology , University of Mississippi Medical Center , Jackson , MS , USA.
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Novotny
authors.affiliation: c Department of Obstetrics and Gynecology , University of Mississippi Medical Center , Jackson , MS , USA.
authors.forename: Nicole M
authors.initials: NM
authors.lastname: Lee
authors.affiliation: a Department of Obstetrics and Gynecology , University of Arkansas for the Medical Sciences , Little Rock , AR , USA .
authors.forename: William W
authors.initials: WW
authors.lastname: Greenfield
authors.affiliation: c Department of Obstetrics and Gynecology , University of Mississippi Medical Center , Jackson , MS , USA.
authors.forename: John C
authors.initials: JC
authors.lastname: Morrison
mesh_terms: D001131:Arkansas / Q000453:epidemiology; D015992:Body Mass Index; D002585:Cesarean Section / Q000706:statistics & numerical data*; D002821:Chorioamnionitis / Q000453:epidemiology; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal / Q000706:statistics & numerical data*; D007751:Labor, Induced; D008922:Mississippi / Q000453:epidemiology; D010298:Parity; D011225:Pre-Eclampsia / Q000453:epidemiology; D011247:Pregnancy; D011644:Puerperal Disorders / Q000453:epidemiology; D012189:Retrospective Studies
keywords: Cesarean; indicated inductions; maternal characteristics; perinatal outcomes; vaginal