Outcome of induction of labour at 41 weeks with foley catheter in midwifery-led care.

Objective: Assess the outcome of induction of labour (IOL) with a Foley catheter in pregnancies at 41 weeks in midwifery-led care setting compared to consultant-led care setting.

Design: Mixed-methods cohort study at a midwifery - hospital partnership in Amsterdam, the Netherlands.

Setting And Participants: Prospectively, women undergoing IOL in midwifery-led care were recruited at a secondary hospital.

Identification of first-stage labor arrest by electromyography in term nulliparous women after induction of labor.

Introduction: Worldwide induction and cesarean delivery rates have increased rapidly, with consequences for subsequent pregnancies. The majority of intrapartum cesarean deliveries are performed for failure to progress, typically in nulliparous women at term. Current uterine registration techniques fail to identify inefficient contractions leading to first-stage labor arrest.

Uterine electromyography for identification of first-stage labor arrest in term nulliparous women with spontaneous onset of labor.

Objective: We sought to study whether uterine electromyography (EMG) can identify inefficient contractions leading to first-stage labor arrest followed by cesarean delivery in term nulliparous women with spontaneous onset of labor.

Study Design: EMG was recorded during spontaneous labor in 119 nulliparous women with singleton term pregnancies in cephalic position. Electrical activity of the myometrium during contractions was characterized by its power density spectrum (PDS).

A validation of electrohysterography for uterine activity monitoring during labour.

Objectives: Validation of electrohysterography (EHG) as a method for uterine activity monitoring during labour by comparing with intra-uterine pressure catheter (IUPC) recordings.

Design: Prospective observational study.

Setting: Labour ward in a tertiary centre in the Netherlands.