Risk calculator to predict cesarean delivery among women undergoing induction of labor
Obstetrics and Gynecology Mar 01, 2020
Rossi RM, et al. - By performing this population-based cohort investigation, researchers intended to construct as well as verify a predictive risk calculator for cesarean delivery in women undergoing induction of labor. Participants were all women who had singleton live births following receiving induction of labor from 32 0/7 to 42 6/7 weeks of gestation in the US from 2012 to 2016. They developed a model using 7 variables: prior vaginal delivery, maternal weight at delivery, maternal height, maternal age, prior cesarean delivery, gestational age at induction, and maternal race. An area under the curve of 0.787 was attained by the receiver operating characteristic curve for the seven-variable model. A consistent measure of discrimination with an AUC of 0.783 was shown by external validation. Discrimination between women at an elevated or reduced risk of cesarean delivery after induction of labor was allowed by the use of this validated predictive model. For counseling purposes and for allotting appropriate resources for women at high risk for cesarean delivery, healthcare providers can apply this risk calculator, found at https://ob.tools/iol-calc, in addition to the Bishop score.
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