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| Name | Class |
|---|---|
| Agence Nationale de sécurité du Médicament | OTHER |
| URC-CIC Paris Descartes Necker Cochin | OTHER |
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Since it is a frequent intervention in Obstetrics, labor induction is rarely evaluated from national population-based cohorts. The study aims to assess the frequency of different induction methods used in France from a prospective population-based cohort of women with an induced labor. Maternal, fetal and neonatal outcomes will be compared between the different induction methods. Moreover the adhesion to national clinical guidelines concerning the induction of labor will be studied from this population-based cohort.
Finally the women satisfaction will be assessed according to the induction method used.
Labor induction concerns about 22% of deliveries in France, according to the the 2010 French national perinatal survey. Labor induction could be associated with a higher risk of fetal and maternal complications, justifying its assessment from a population-based prospective cohort.
Several methods (dinoprostone, oxytocin, misoprostol, balloon catheter …) are used to induce labor in France. To decide and perform labor inductions, physicians can refer to published guidelines according to specific obstetrical situations. But many of these guidelines are based on a low level of evidence probably explaining observed differences in practices.
In some cases, labor induction is decided without indication, and women's involvement in this kind of decisions is not really evaluated.
The objectives are therefore :
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| all women with an induced labor | prospective population-based cohort of all women who have an induced labor during one month in seven perinatal networks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| all women with an induced labor | Other | all women who have an induced labor |
|
| Measure | Description | Time Frame |
|---|---|---|
| Composite measure of induction methods |
For each of these methods, evaluation of these composite criteria
| Beginning of labor induction |
| Measure | Description | Time Frame |
|---|---|---|
| Composite measure of maternal morbidity |
| Labor induction |
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Inclusion Criteria:
Exclusion Criteria:
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all women who have an induced labor
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| Name | Affiliation | Role |
|---|---|---|
| Camille Le Ray | Assistance publique des Hôpitaux de Paris (APHP) | Principal Investigator |
| François Goffinet | Assistance publique des Hôpitaux de Paris (APHP) | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Port-Royal maternity unit, Cochin Hospital, Assistance publique des Hôpitaux de Paris (APHP | Paris | 75014 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31403585 | Result | Jochum F, Le Ray C, Blanc-Petitjean P, Langer B, Meyer N, Severac F, Sananes N. Externally Validated Score to Predict Cesarean Delivery After Labor Induction With Cervi Ripening. Obstet Gynecol. 2019 Sep;134(3):502-510. doi: 10.1097/AOG.0000000000003405. | |
| 31628852 | Result | Blanc-Petitjean P, Schmitz T, Salome M, Goffinet F, Le Ray C; MEDIP Study Group. Target populations to reduce cesarean rates after induced labor: A national population-based cohort study. Acta Obstet Gynecol Scand. 2020 Mar;99(3):406-412. doi: 10.1111/aogs.13751. Epub 2019 Nov 19. |
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| Composite measure of fetal and neonatal mortality and morbidity |
|
| from induction up to average 7 days post delivery |
| Women's satisfaction Questionnaire | 18 questions about :
| 8 weeks after delivery |
| 29196154 | Result | Blanc-Petitjean P, Salome M, Dupont C, Crenn-Hebert C, Gaudineau A, Perrotte F, Raynal P, Clouqueur E, Beucher G, Carbonne B, Goffinet F, Le Ray C. Labour induction practices in France: A population-based declarative survey in 94 maternity units. J Gynecol Obstet Hum Reprod. 2018 Feb;47(2):57-62. doi: 10.1016/j.jogoh.2017.11.006. Epub 2017 Nov 28. |