ABSTRACT
This paper presents a prospective study of all inductions of labour at a Norwegian obstetric department during 1992. The study was performed to assure the quality of the induction procedure. 323 labours (7.5%) out of a total of 4,289 deliveries were induced. Hypertensive disorders were the most common indication for induction. The progress and outcome of the induced labours in women without prelabour rupture of membranes have been compared with equivalent data on spontaneous deliveries. The babies of 39 (12.6%) of 310 women in the induction group were delivered by Caesarean section, as against 13 (4.2%) in the spontaneous delivery group. Duration of labour is longest, and rate of operative deliveries is highest (48%), in nulliparous women with unripe cervix. The progress and outcome of labour are only slightly affected by the indication for induction and the gestational age.
Subject(s)
Labor, Induced/standards , Quality Assurance, Health Care , Adult , Apgar Score , Cesarean Section/statistics & numerical data , Female , Humans , Infant, Newborn , Labor, Induced/methods , Labor, Induced/statistics & numerical data , Norway , PregnancyABSTRACT
This article evaluates the use of 449 standardised forms (health cards) for prenatal care. On the whole the health cards were satisfactorily completed. There were significant differences, however, between different groups of doctors. General practitioners filled in the card more completely than gynecologists did, doctors below 40 years of age more completely than older doctors, female doctors more completely than their male colleagues, and doctors with a participating midwife more completely than doctors with no participating midwife.