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Pregnancy outcomes of elective induction in low-risk term pregnancies: A propensity-score analysis

DC Field Value Language
dc.contributor.author정인경-
dc.date.accessioned2019-05-29T05:19:08Z-
dc.date.available2019-05-29T05:19:08Z-
dc.date.issued2019-
dc.identifier.issn0025-7974-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/169529-
dc.description.abstractWe investigated the mode of delivery and perinatal outcomes in low-risk pregnant women whose labor was electively induced or expectantly managed at term.Healthy women with viable, vertex singleton pregnancies at 37 to 40 weeks of gestation were included. Women electively induced (n = 416) in each week (37-37, 38-38, 39-39, 40-40 weeks) were compared with pregnant women with spontaneous labor (n = 487). The primary outcome was mode of delivery. A propensity score (PS) was derived using logistic regression to model the probability of elective induction group as a function of potential confounders. Altogether, 284 women with elective induction were matched with 284 women who underwent expectant management to create a PS-matched population. All analysis was performed using SAS software, version 9.4 (SAS Institute Inc., Cary, NC). All P values reported of the significance level was set at <.05.There are no significant differences of delivery mode, neonatal intensive care unit (NICU) admission, and neonatal complication between PS-matched groups. Incidence of antepartum complications showed higher in the elective induction group compared to the spontaneous labor group (P = .04). When comparing each gestational week, incidence of NICU admission at 38 weeks in the elective induction group [10/74 (13.5%)] was significantly higher than in and the spontaneous labor group [2/74 (2.7%)] (P = .04).Elective induction of labor at term is not associated with increased risk of cesarean delivery. However, overall incidence of NICU admission at 38 gestational weeks seems to be increased in elective induction.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherLippincott Williams & Wilkins-
dc.relation.isPartOfMEDICINE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHCesarean Section/statistics & numerical data-
dc.subject.MESHExtraction, Obstetrical/statistics & numerical data-
dc.subject.MESHFemale-
dc.subject.MESHGestational Age-
dc.subject.MESHHumans-
dc.subject.MESHIntensive Care, Neonatal/statistics & numerical data-
dc.subject.MESHLabor Onset-
dc.subject.MESHLabor, Induced*/methods-
dc.subject.MESHPregnancy-
dc.subject.MESHPregnancy Complications-
dc.subject.MESHPregnancy Outcome*-
dc.subject.MESHPropensity Score-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.titlePregnancy outcomes of elective induction in low-risk term pregnancies: A propensity-score analysis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Biomedical Systems Informatics (의생명시스템정보학교실)-
dc.contributor.googleauthorEun Duc Na-
dc.contributor.googleauthorSung Woon Chang-
dc.contributor.googleauthorEun Hee Ahn-
dc.contributor.googleauthorSang Hee Jung-
dc.contributor.googleauthorYoung Ran Kim-
dc.contributor.googleauthorInkyung Jung-
dc.contributor.googleauthorHee Young Cho-
dc.identifier.doi10.1097/MD.0000000000014284-
dc.contributor.localIdA03693-
dc.relation.journalcodeJ02214-
dc.identifier.eissn1536-5964-
dc.identifier.pmid30813131-
dc.contributor.alternativeNameJung, In Kyung-
dc.contributor.affiliatedAuthor정인경-
dc.citation.volume98-
dc.citation.number8-
dc.citation.startPagee14284-
dc.identifier.bibliographicCitationMEDICINE, Vol.98(8) : e14284, 2019-
dc.identifier.rimsid62688-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Biomedical Systems Informatics (의생명시스템정보학교실) > 1. Journal Papers

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