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Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Vol. 77 No. 1, 2023.

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PREVALENCE, RISK FACTORS AND PREGNANCY OUTCOMES OF LABOR INDUCTION IN CROATIA – A NATIONAL ONE-YEAR STUDY

KATJA VINCE orcid id orcid.org/0000-0001-5992-5030 ; Merkur University Hospital, Zagreb, Croatia *
JELENA DIMNJAKOVIĆ orcid id orcid.org/0000-0003-3115-0186 ; Croatian Institute of Public Health, Zagreb, Croatia
IVAN CEROVEČKI ; Croatian Institute of Public Health, Zagreb, Croatia
TAMARA POLJIČANIN ; Zagreb County Health Center, Zagreb, Croatia
RATKO MATIJEVIĆ orcid id orcid.org/0000-0003-1693-7474 ; Sveti Duh University Hospital, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia

* Corresponding author.

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Abstract

The aim of this study was to determine the prevalence of labor induction in Croatia, as well as the main risk factors and adverse pregnancy outcomes associated with labor induction. Materials and methods: A cross-sectional study was performed using data from medical birth certificates collected in 2019 in Croatia. Results: Among 36,603 deliveries in 2019, the prevalence of labor induction was 14.1%. Women whose labor was induced were older, had a higher body mass index (BMI), and more frequent gestational weight gain above recommendations compared to women with spontaneous onset of labor (p<0.001). Induced labors were more frequent in pregnancies with gestational diabetes, gestational hypertension, preeclampsia, and fetal growth restriction (p<0.001 all). Women with induced labor had a higher incidence of cesarean section, vacuum extraction, postpartum hemorrhage, shoulder dystocia, and more frequently delivered infants above 4000 g (p<0.05 all). Logistic regression showed that maternal age, pre-pregnancy BMI, gestational diabetes, gestational hypertension, preeclampsia, fetal growth restriction, and gestational age at delivery were significant predictors of labor induction (p<0.001 all). Conclusions. The prevalence of labor induction in Croatia is 14.1%. Labor induction is associated with important risk factors and adverse perinatal outcomes, which can partially be attributed to the mode of labor onset. All of these should be taken into account when performing this obstetric procedure.

Keywords

abor induction; prevalence; risk factors; cesarean section; logistic regression analysis

Hrčak ID:

310548

URI

https://hrcak.srce.hr/310548

Publication date:

22.11.2023.

Article data in other languages: croatian

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