Influence of programmed and induced labour on the frequency of caesarean sections and surgical vaginal delivery

Overview

Objective:
Evaluate wheather use of prostaglandin, oxytocine and diruption of membranes like methods of induction and programation of labor has influence on the frequency of caesarean sections and vaginal operation labors.

Design:
Retrospective study.

Methods:
Three groups of labors were compared in 2005 and 2006. First group includes labors without use of induction and programation (1 810). Second group compares labors with use of methods of induction (226). Third group compares labors with use of methods of programation (200). The sum of labors in 2005 and 2006 was 2236. Caesarean section rate, vaginal operation labors (forceps, vacuum extractor) rate and safety of prostaglandin usage were evaluated.

Results:
There was higher number of caesarean sections and vaginal operation labors in group with expectative management of conducting of labor than in group with programation. The number of caesarean sections and vaginal operation labors in group with expectative management of conducting of labor was practically equal as in group with the induction.

Conclusions:
Results of usage of prostaglandin and diruption of membranes did not confirm worries about higher frequency caesarean section and vaginal operation methods. There is no need to condsider using of induction and programation to be dangerous.

Key words:
induction, programation, prostaglandin, caesarean section, forceps, vacuum extractor