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Journal of Pregnancy
Volume 2013, Article ID 820892, 6 pages
Clinical Study

Risk Factors for Cesarean Delivery following Labor Induction in Multiparous Women

1Department of Obstetrics & Gynecology, Máxima Medical Centre, P.O. Box 7777, 5500 MB Veldhoven, The Netherlands
2Department of Obstetrics & Gynecology, Academic Medical Centre, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands

Received 31 October 2012; Accepted 18 December 2012

Academic Editor: Sinuhe Hahn

Copyright © 2013 Corine J. Verhoeven et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.