Predictors of perinatal outcomes and economic costs for late-term induction of labour.

Objective: We aimed to predict the perinatal outcomes and costs of health services following labour induction for late-term pregnancies.

Materials And Methods: We conducted a cohort study of 245 women who underwent labour induction during their 41st week of gestation. The cervical condition was assessed upon admission using the Bishop score and ultrasound cervical length measurements.

Economic implications of labor induction.

Objective: To assess health service costs associated with labor induction according to different clinical situations in a tertiary-level hospital.

Methods: In a prospective study, individual patient cost data were assessed for women admitted for induction of labor at a tertiary hospital in Spain between November 1, 2012, and August 31, 2013. The costs of labor induction were estimated according to maternal and neonatal outcomes, method of delivery, cervical condition at admission, and obstetric indication.

Cervical condition and fetal cerebral Doppler as determinants of adverse perinatal outcome after labor induction for late-onset small-for-gestational-age fetuses.

Objective: To estimate the combined value of fetal cerebral Doppler examination and Bishop score for predicting perinatal outcome after labor induction for small-for-gestational-age (SGA) fetuses in the presence of normal umbilical artery Doppler recordings.

Methods: We conducted a cohort study in two tertiary centers, including 164 women with normal umbilical artery Doppler recordings who underwent induction of labor because of an estimated fetal weight < 10(th) percentile. The fetal middle cerebral artery pulsatility index and cerebroplacental ratio (CPR) were obtained in all cases within 24 h before induction.

Cervix assessment for the management of labor induction: reliability of cervical length and Bishop score determined by residents.

Aim: To evaluate the reliability of two techniques of cervical ripeness assessment at the beginning of labor induction, as assessed by inexperienced observers.

Methods: A total of 120 women were prospectively studied at admission for labor induction. Two independent physicians examined consenting women successively but separately.