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Updated: May 14, 2026
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Risk factors for cesarean delivery following labor induction in multiparous women
Corine J Verhoeven1, Cedric T van Uytrecht, Martina M Porath
1Department of Obstetrics & Gynecology, Máxima Medical Centre, P.O. Box 7777, 5500 MB Veldhoven, The Netherlands. corine.verhoeven@mmc.nl
Objective:
To identify potential risk factors for cesarean delivery following labor induction in multiparous women at term.
Methods:
We conducted a retrospective case-control study. Cases were parous women in whom the induction of labor had resulted in a cesarean delivery. For each case, we used the data of two successful inductions as controls. Successful induction was defined as a vaginal delivery after the induction of labor. The study was limited to term singleton pregnancies with a child in cephalic position.
Results:
Between 1995 and 2010, labor was induced in 2548 parous women, of whom 80 had a cesarean delivery (3%). These 80 cases were compared to the data of 160 parous women with a successful induction of labor. In the multivariate analysis history of preterm delivery (odds ratio (OR) 5.3 (95% CI 1.1 to 25)), maternal height (OR 0.87 (95% CI 0.80 to 0.95)) and dilatation at the start of induction (OR 0.43 (95% CI 0.19 to 0.98)) were associated with failed induction.
Conclusion:
In multiparous women, the risk of cesarean delivery following labor induction increases with previous preterm delivery, short maternal height, and limited dilatation at the start of induction.
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