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Related Experiment Video

Updated: Jun 17, 2026

Intrauterine Telemetry to Measure Mouse Contractile Pressure In Vivo

Intrauterine Telemetry to Measure Mouse Contractile Pressure In Vivo

Published on: April 6, 2015

Term labor induction compared with expectant management.

J Christopher Glantz¹

¹From the University of Rochester School of Medicine, Rochester, New York.

Obstetrics and Gynecology

|December 23, 2009

Summary

This summary is machine-generated.

Labor induction is linked to a higher risk of cesarean delivery, even when compared to different expectant management groups. Women should be informed about this increased risk, which is approximately 1-2 extra cesarean deliveries per 25 inductions.

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Electromyometrial Imaging of Uterine Contractions in Pregnant Women

Electromyometrial Imaging of Uterine Contractions in Pregnant Women

Published on: May 26, 2023

Area of Science:

Obstetrics and Gynecology
Maternal-Fetal Medicine
Reproductive Health

Background:

Labor induction is a common obstetric intervention.
The association between labor induction and cesarean delivery risk is debated.
Comparison group definitions may influence study outcomes.

Purpose of the Study:

To investigate how different comparison groups affect the association between labor induction and cesarean delivery risk.
To determine if the observed increased cesarean risk with induction is robust across various analytical approaches.

Main Methods:

Utilized a New York State birth-certificate database for a retrospective analysis.
Estimated odds ratios for cesarean delivery comparing induction with three control group definitions: week-to-week, all above, and at or above.
Employed chi-square logistic regression, adjusting for confounders like parity and high-risk factors.

Main Results:

All comparison methods showed an unadjusted increased cesarean risk post-induction, except for the 'all above' group after 39 weeks.
Adjusted analyses revealed persistent increased risk from 37-41 weeks (week-to-week) and 38-41 weeks (at or above), with odds ratios ranging from 1.24 to 1.45.
The 'all above' group no longer showed a significant increased risk after adjustment.

Conclusions:

Labor induction is associated with an increased risk of cesarean delivery, irrespective of the comparison group used (week-to-week or expectant management).
This association remains significant even after adjusting for key demographic and clinical confounders.
While the absolute increase in risk per woman is modest, informed consent regarding this potential outcome is crucial.