Labor induction after fetal death: A retrospective analysis

Sharon M. Salamat, Helain J. Landy, Mary J. O'Sullivan

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

OBJECTIVE: To describe the delivery outcomes in patients with stillborn infants after labor induction versus spontaneous onset of labor. STUDY DESIGN: A retrospective chart review was performed of singleton pregnancies complicated by fetal death over a three-year period when awaiting spontaneous onset of labor was a commmmon practice. Exclusion criteria were prior multiple cesarean deliveries, placenta previa, preeclampsia or suspected abruptio placentae. Outcome measur̀es included time spent in the labor and delivery unit and rates of maternal hemorrhagic morbidity and endomyometritis. RESULTS: Two hundred eight patients, 100 patients undergoing labor induction and 108 with spontaneous onset of labor, met the study criteria. Patients delivering after induction spent a longer time in the labor and delivery unit (13.7 versus 4.4 hours). The endomyometritis rate was higher in the spontaneous labor group (6% versus 1%). There were no differences in the frequency of postpartum hemorrhage, retained placenta or need for blood transfusion. CONCLUSION: Induction following diagnosis of fetal death is safe and may reduce maternal infectious morbidity.

Original languageEnglish (US)
Pages (from-to)23-26
Number of pages4
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume47
Issue number1
StatePublished - Feb 5 2002

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Keywords

  • Fetal death
  • Induced
  • Labor
  • Labor complications

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

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