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Gynecol Obstet Fertil Senol. 2019 Jul - Aug;47(7-8):555-561. doi: 10.1016/j.gofs.2019.05.002. Epub 2019 May 30.

[Overview of induction of labor practices in France].

[Article in French]

Author information

1
Inserm UMR 1153, équipe de recherche en épidémiologie obstétricale, périnatale et pédiatrique (EPOPé), maternité Port-Royal, centre de recherche épidémiologie et statistiques (CRESS), DHU Risques et grossesse, université Paris Descartes, 123, boulevard de Port-Royal, 75014 Paris, France; Pôle femme-enfant, DHU risques et grossesse, hôpital Louis Mourier, université Paris Diderot, Assistance publique-Hôpitaux de Paris, Colombes, France. Electronic address: pauline.blanc-petitjean@inserm.fr.
2
URC-CIC Paris Descartes Necker/Cochin, Assistance publique-Hôpitaux de Paris, Paris, France.
3
HESPER EA 7425 Health Services and Performance Research, réseau périnatal Aurore - hôpital de la Croix Rousse, université Lyon 1, 69008 Lyon, France.
4
Pôle femme-enfant, DHU risques et grossesse, hôpital Louis Mourier, université Paris Diderot, Assistance publique-Hôpitaux de Paris, Colombes, France.
5
Service de gynécologie-obstétrique, hôpitaux universitaires de Strasbourg, Strasbourg, France.
6
Réseau de santé périnatal Parisien, Paris, France.
7
Service de gynécologie-obstétrique, hôpital André Mignot, centre hospitalier de Versailles, Le Chesnay, France.
8
Pôle Femme Mère Nouveau-né, clinique d'obstétrique, hôpital Jeanne de Flandre, université de Lille Nord de France, Lille, France.
9
Service de gynécologie-obstétrique et médecine reproductive, CHU de Caen, Caen, France.
10
Service de gynécologie-obstétrique, centre hospitalier Princesse Grace, Monaco.
11
Inserm UMR 1153, équipe de recherche en épidémiologie obstétricale, périnatale et pédiatrique (EPOPé), maternité Port-Royal, centre de recherche épidémiologie et statistiques (CRESS), DHU Risques et grossesse, université Paris Descartes, 123, boulevard de Port-Royal, 75014 Paris, France; Maternité Port-Royal, DHU Risques et grossesse, hôpital Cochin, université Paris Descartes, Assistance publique-Hôpitaux de Paris, Paris, France.

Abstract

OBJECTIVE:

To describe induction of labor practices in France and to identify factors associated with the use of different methods.

METHODS:

The data came from the French prospective population-based cohort MEDIP (MEthodes de Déclenchement et Issues Périnatales), including consecutively during one month in 2015 all women with induction of labor and a live fetus in 7 perinatal networks. The characteristics of women, maternity units, gestational age, Bishop's score, decision mode, indication and methods of labor induction were described. Factors associated with the use of different methods were sought in univariate analyzes.

RESULTS:

The rate of induction of labor during the study was 21% and 3042 women were included (95.9% participation rate). The two main indications were prolonged pregnancy (28.7%) and premature rupture of the membranes (25.4%). More than one-third of women received intravenous oxytocin in first method, 57.3% prostaglandins, 4.5% balloon catheter and 1.4% another method. Among the prostaglandins, the vaginal device of dinoprostone was the most used (71.6%) then the gel (20.7%) and the vaginal misoprostol (6.7%). Women with a balloon were more often of higher body mass index and multiparous with scarred uterus. The balloon and misoprostol were mainly used in university public hospitals.

CONCLUSIONS:

The evolution of induction of labor methods, due to new data from the literature and the development of new drugs or devices, invites to regularly repeat population-based studies on induction of labor.

KEYWORDS:

Bishop score; Cervical ripening; Déclenchement du travail; Induction of labor; Maturation cervicale; Oxytocin; Oxytocine; Prostaglandin; Prostaglandine; Score de Bishop

PMID:
31153953
DOI:
10.1016/j.gofs.2019.05.002
[Indexed for MEDLINE]

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