Induction of labor among singleton pregnancies in six Palestinian governmental hospitals: A population-based cohort study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11140%2F19%3A10400075" target="_blank" >RIV/00216208:11140/19:10400075 - isvavai.cz</a>

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=OR9xnFS5V4" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=OR9xnFS5V4</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.2147/IJWH.S215781" target="_blank" >10.2147/IJWH.S215781</a>

Result language

angličtina

Original language name

Induction of labor among singleton pregnancies in six Palestinian governmental hospitals: A population-based cohort study

Original language description

Objective: To explore rates and review practices regarding induction of labor (IOL) among singleton pregnancies in Palestine. Design: A prospective population-based cohort study. Setting: Six secondary and tertiary governmental hospitals located in the two regions of Palestine: West Bank and Gaza. Participants: Singleton pregnancies who had IOL in participating units during the study period were included (n=8290). Women having multiple gestations (1004), planned cesarean births (703), those admitted with cervical dilation &gt;6cm (11228), and pregnancies with no record of cervical dilation and/or gestational age on admission (219) were excluded. Primary outcome measure: Rates of IOL in participating units and regions. Results: There were a total of 33,402 singleton births during the study period with an IOL rate of 24.8%. Rates of IOL significantly varied between units, ranging from 12.9% to 45.6% (P-value &lt;0.05). The majority of women with no previous uterine scar were induced at gestational ages &lt;=40 weeks where 43.8% were induced at 39-40 gestational weeks (29.9% multiparous; 13.9% nulliparous) and 17.7% were induced between 37 and 38 gestational weeks (11.9% multiparous; 5.8% nulliparous). Conclusion: Significant variations in IOL practices between Palestinian hospitals and regions suggest overuse of IOL among singleton pregnancies in some units with the majority of these being performed before 40 weeks&apos; gestation. These findings indicate a gap between implementation of best evidence and current clinical practice.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30214 - Obstetrics and gynaecology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2019

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

International Journal of Women&apos;s Health

ISSN

1179-1411

e-ISSN

—

Volume of the periodical

11

Issue of the periodical within the volume

November

Country of publishing house

CH - SWITZERLAND

Number of pages

9

Pages from-to

597-605

UT code for WoS article

000496196200002

EID of the result in the Scopus database

2-s2.0-85074655626