Breaking the myth : the association between the increasing incidence of labour induction and the rate of caesarean delivery in Finland - a nationwide Medical Birth Register study

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Kruit , H , Gissler , M , Heinonen , S & Rahkonen , L 2022 , ' Breaking the myth : the association between the increasing incidence of labour induction and the rate of caesarean delivery in Finland - a nationwide Medical Birth Register study ' , BMJ Open , vol. 12 , no. 7 , 060161 . https://doi.org/10.1136/bmjopen-2021-060161

Title: Breaking the myth : the association between the increasing incidence of labour induction and the rate of caesarean delivery in Finland - a nationwide Medical Birth Register study
Author: Kruit, Heidi; Gissler, Mika; Heinonen, Seppo; Rahkonen, Leena
Contributor organization: HUS Gynecology and Obstetrics
Department of Obstetrics and Gynecology
University of Helsinki
Date: 2022-07
Language: eng
Number of pages: 7
Belongs to series: BMJ Open
ISSN: 2044-6055
DOI: https://doi.org/10.1136/bmjopen-2021-060161
URI: http://hdl.handle.net/10138/346462
Abstract: Objectives To determine the association between the rate of labour induction and caesarean delivery. Design Medical Birth Register-based study. We used data from the nationwide Medical Birth Register collecting data on delivery outcomes on all births from 22+0 weeks and/or birth weight of at least 500 g. Setting Finland. Participants 663 024 live births in Finland from 2008 to 2019. Main outcome measures The rates of labour induction and caesarean delivery. Results The rate of labour induction increased from 17.8% to 30.3%; p Conclusions The 70% increase in the rate of labour induction in Finland has not led to a significant increase in the rate of caesarean delivery, which has remained one of the lowest in the world. Pregnant women in Finland are more frequently obese, older and diagnosed with gestational diabetes, which may partly explain the increase in the rate of labour induction.
Subject: epidemiology
obstetrics
maternal medicine
fetal medicine
NULLIPAROUS WOMEN
RISK
PREGNANCY
OBESITY
Peer reviewed: Yes
Rights: cc_by_nc
Usage restriction: openAccess
Self-archived version: publishedVersion


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