Cesarean during labor: is induction a risk factor for complications?

Abstract Introduction Evaluate the impact of labor induction on maternal complications following caesarean section during labor. Material and methods Retrospective, single-center study between 2015 and 2017. Were included singleton pregnancies who had cesarean section during labor after 37 W G. Labor induction procedures included either transcervical balloon catheters or prostaglandins. Degree of emergency of the cesarean was decided according to color code (green, orange and red). We identified and compared intra and postoperative complications according to the mode of labor onset, and then to the mode of labor induction. Results 882 patients were included, 416 with spontaneous labor and 464 with labor induction. No significant difference was found for postoperative complications between the two groups. Patients with spontaneous labor had fewer green-code caesareans than patients with elective induction (29.3% vs. 40.3% p  Conclusions Elective induction does not result in an increased risk of cesarean section during labor complications. Only the use of prostaglandin following transcervical balloon catheter increased the risk of severe postpartum hemorrhage.