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The frequency of induction of delivery, oxytocin augmentation, preterm delivery, and postmaternity were similar in the treatment groups.
Pre-eclampsia in its severe form often results in early induction of delivery so it is appropriate to account for length of gestation.
In recent years, induction of delivery has become more common from gestational week 42+0 in Sweden, mainly to avoid intrauterine death.
Recurrence risks of perinatal death were not significantly affected by conditions like C-section, induction of delivery, infection or the number of antenatal care visits in the previous pregnancy (Table 4).
Given the data from studies concerning the effect of under-nutrition on the brain and the effects on long-term cognitive and behavioral outcome, evaluation of the possible clinical benefit of early induction of delivery, pre-empting a detrimental effect of chronic under nutrition on the fetal brain intervention, is important.
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2 5 Randomised studies have suggested a potential for prevention of fetal deaths by earlier induction of deliveries.
The trend of inductions of delivery is depicted in table 6.
Overall, the Bishop score was highly predicted of induction to delivery interval of less than 24 hrs [optimal cut-off = 4, AUC 0.8 (95% CI 0.75, 0.86), sensitivity 77%, specificity 76%, LR+ 3.3, LR- 0.3, P < 0.05] whilst CR was not at any study frequency.
Temporal analysis was limited to induction, mode of delivery, epidural anaesthesia and episiotomy as these rates were the most stable across years and regions.
Infants were also excluded if they were missing data on birthweight, clinical estimate of gestational age, sex, labour induction, mode of delivery or had a congenital anomaly documented on the birth certificate.
At term;. in a stable patient, induction of vaginal delivery is permitted.
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