title: Mode of delivery in nulliparous women with gestational hypertension undergoing early term induction of labor.
abstract: OBJECTIVE
  To evaluate perinatal outcomes in nulliparous women undergoing induction of labor for gestational hypertension at term.
  
  
  METHODS
  Retrospective cohort study of nulliparous women with gestational hypertension undergoing induction of labor ≥37 weeks. Mode of delivery and perinatal outcomes were compared for women who delivered at 370-6/7, 380-6/7, and ≥390/7weeks gestation.
  
  
  RESULTS
  The cohort included 320 women: 67 (21%) at 370-6/7, 76 (24%) at 380-6/7, and 177 (55%) at ≥390/7. There was no increase in cesarean delivery (CD) in women delivering earlier, with 26.9% (370-6/7), 19.7% (380-6/7) and 29.9% (≥390/7) requiring CD (p values = 0.39). Compared to ≥39 weeks, composite maternal morbidity was lowest in women delivering at 380-6/7(adjusted odds ratio [aOR] 0.45, 95% confidence interval (CI) 0.24-0.84). Composite neonatal morbidity was similar among the groups. When compared to women delivering at ≥390/7weeks, women delivered at 380-6/7were less likely to experience any adverse maternal or neonatal outcome (aOR 0.50, 95% CI 0.28-0.90).
  
  
  CONCLUSIONS
  Compared to induction of labor at ≥39 weeks, early term induction of labor was not associated with an increased risk of CD in nulliparous women with gestational hypertension.
authors.affiliation: a Department of Obstetrics and Gynecology , Division of Maternal Fetal Medicine, The University of Alabama at Birmingham , Birmingham , AL , USA and.|b Department of Obstetrics and Gynecology , Washington University School of Medicine , St. Louis , MO , USA.
authors.forename: Jennifer K
authors.initials: JK
authors.lastname: Durst
authors.affiliation: a Department of Obstetrics and Gynecology , Division of Maternal Fetal Medicine, The University of Alabama at Birmingham , Birmingham , AL , USA and.
authors.forename: Akila
authors.initials: A
authors.lastname: Subramaniam
authors.affiliation: a Department of Obstetrics and Gynecology , Division of Maternal Fetal Medicine, The University of Alabama at Birmingham , Birmingham , AL , USA and.
authors.forename: Ying
authors.initials: Y
authors.lastname: Tang
authors.affiliation: a Department of Obstetrics and Gynecology , Division of Maternal Fetal Medicine, The University of Alabama at Birmingham , Birmingham , AL , USA and.
authors.forename: Jeff M
authors.initials: JM
authors.lastname: Szychowski
authors.affiliation: a Department of Obstetrics and Gynecology , Division of Maternal Fetal Medicine, The University of Alabama at Birmingham , Birmingham , AL , USA and.
authors.forename: Sukhkamal B
authors.initials: SB
authors.lastname: Campbell
authors.affiliation: a Department of Obstetrics and Gynecology , Division of Maternal Fetal Medicine, The University of Alabama at Birmingham , Birmingham , AL , USA and.
authors.forename: Joseph R
authors.initials: JR
authors.lastname: Biggio
authors.affiliation: a Department of Obstetrics and Gynecology , Division of Maternal Fetal Medicine, The University of Alabama at Birmingham , Birmingham , AL , USA and.
authors.forename: Lorie M
authors.initials: LM
authors.lastname: Harper
mesh_terms: D000293:Adolescent; D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data*; D005260:Female; D005865:Gestational Age; D006801:Humans; D046110:Hypertension, Pregnancy-Induced; D007751:Labor, Induced / Q000706:statistics & numerical data*; D010298:Parity; D012189:Retrospective Studies; D055815:Young Adult
keywords: Gestational hypertension; cesarean delivery; induction of labor