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  • 1. Andersson, Maria
    et al.
    Bramhagen, Ann-Cathrine
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Förekomst av förlossningsinduktion, indikationer och förlossningsutfall2014Report (Other academic)
    Abstract [en]

    Over the last twenty years, the National Board reports have shown an increase when it comes to launch, inducing childbirth. Statistics show that births started with induction has increased in Sweden from 8.1% in 1990 to 13.2% in 2007. For pregnancy more than 42 weeks of gestation or more, is the most frequent cause of inducing childbirth. This means an increased risk of complications and may result in cesarean uterus ruptures and or low Apgar Score for the child. The purpose of this report was to describe the incidence of labor induction, its indications and obstetric outcomes in women's clinic in Malmö. The report is based on retrospective medical record review. Data were processed in SPSS. The results show that induced births has increased, but no statistical difference over time could be shown. However, it turned out spontaneous birth that ended with vacuum extraction after induction was significantly elevated relative to spontaneous deliveries without induction. Induced women are at risk and require increased monitoring because of the risk of uterine rupture, over stimulation and the effect on the fetus. In several studies, it appears that induction leads to painful latensfaser and increased pain relief was needed. Midwives and doctors should be well aware that the indication for induction must be done to justify the increased risk for mother and child, choice of induction should be based on an overall assessment of the mother's and the child's condition and ability to cope with an induced labor. It should clearly state the cause of the induction, method and dosage of any medicine so that no doubt exists, either in the journal or on the drug list.

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