Induction of Labor on Maternal Request: Do Not Refuse This Option to Women

Objective: To describe perinatal outcomes in a population of labour induction on maternal request, whatever the obstetrical conditions. Methods: This retrospective single-centre study included all women who underwent labour induction on maternal request between January 2019 and May 2020. The primary outcome was perinatal outcomes: data about maternal and fetal morbidity were collected. The secondary outcome was the cesarean rate. Data were compared according to the delivery outcome (“vaginal delivery” Vs “cesarean section” group) to identify risk factors for cesarean delivery. Multivariate analysis was performed by adjusting for confounding factors such as Bishop score, prior cesarean section, parity, BMI, maternal, fetal presentation, gestational age, method of ripening, and the number of ripening's stages needed. Results: We included 86 women. There was no risk factor for poor perinatal outcomes. Vaginal delivery occurs in 96,3 % (n=78/86) of all women. In primiparous women and the “prior cesarean-section group”, this rate was 92,9% and 76,9%, respectively. We didn't find any statistical difference between the “vaginal delivery” and “cesarean section” groups. Conclusion: Induction of labour on maternal request should be widely accepted regarding the low risk of cesarean section and the absence of predictive risk factor of it