{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T18:17:23Z","timestamp":1772821043269,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,6,22]],"date-time":"2018-06-22T00:00:00Z","timestamp":1529625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To compare perinatal outcomes of dinoprostone for induced labor in pregnancies with a borderline versus normal amniotic fluid index (AFI) at term, and to investigate the related factors affecting outcomes of cesarean section.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The retrospective study was carried out in Hubei Maternal and Child Health Hospital with singleton pregnancies of 37\u201342\u2009weeks\u2019 gestation from January to August 2016. A total of 992 subjects were divided into two groups: borderline AFI group (<jats:italic>n<\/jats:italic>\u2009=125) with 5\u2009&lt;\u2009AFI\u2009\u2264\u20098 and normal AFI group (<jats:italic>n<\/jats:italic>\u2009=\u2009867) with 8\u2009&lt;\u2009AFI\u2009\u2264\u200924.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Time to delivery (<jats:italic>P<\/jats:italic>\u2009=0.004) and use of oxytocin augmentation (<jats:italic>P<\/jats:italic>\u2009=\u20090.011) were significantly lower in pregnancies with borderline AFI. There were no significant differences between the two groups in terms of delivery mode, time to onset of labor, fetal distress, Apgar scores, meconium\u2010stained amniotic fluid, birth weight, or incidences of admission to neonatal intensive care unit (NICU). Gestational hypertension and birth weight were the major factors affecting outcomes of cesarean section in the borderline group (odds ratio [OR]\u2009=\u200913.61, 95% confidence interval [CI] 1.96\u201394.49, <jats:italic>P<\/jats:italic>\u2009=0.008 and OR\u2009=\u20091.003, 95% CI 1.001\u20131.005, <jats:italic>P<\/jats:italic>\u2009=0.001, respectively). Maternal age (OR\u2009=\u20091.12, 95% CI 1.06\u20131.19, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), parity (OR\u2009=\u20097.57, 95% CI 3.05\u201318.76, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), biparietal diameter (OR\u2009=\u20090.55, 95% CI 0.33\u20130.91, <jats:italic>P<\/jats:italic>\u2009=\u20090.021), and meconium\u2010stained amniotic fluid (OR\u2009=\u20091.56, 95% CI 1.12\u20132.17, <jats:italic>P<\/jats:italic>\u2009=\u20090.009) were related factors in the normal group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The perinatal outcomes of dinoprostone for induced labor are comparable between the two groups. Gestational hypertension and birth weight are factors related to outcomes of cesarean section in the borderline group.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.13682","type":"journal-article","created":{"date-parts":[[2018,6,22]],"date-time":"2018-06-22T15:21:42Z","timestamp":1529680902000},"page":"1397-1403","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Perinatal outcomes following labor induction with dinoprostone in pregnancies with borderline amniotic fluid index at term: A clinical observation study"],"prefix":"10.1111","volume":"44","author":[{"given":"Heng","family":"Yin","sequence":"first","affiliation":[{"name":"Department of Obstetric Hubei Maternity and Child Health Hospital  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Obstetric Hubei Maternity and Child Health Hospital  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Obstetric Hubei Maternity and Child Health Hospital  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetric Hubei Maternity and Child Health Hospital  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaping","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Obstetric Hubei Maternity and Child Health Hospital  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guoqiang","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Obstetric Hubei Maternity and Child Health Hospital  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mei","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Obstetric Hubei Maternity and Child Health Hospital  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,6,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2012.09.001"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2013.32.5.851"},{"issue":"4","key":"e_1_2_6_4_1","first-page":"307","article-title":"Decreased amniotic fluid index and adverse pregnancy outcome at term","volume":"24","author":"Karim R","year":"2011","journal-title":"JPMI"},{"key":"e_1_2_6_5_1","first-page":"540","article-title":"Amniotic fluid volume assessment with the four\u2010quadrant technique at 36\u201342 weeks' gestation","volume":"32","author":"Phelan JP","year":"1987","journal-title":"J Reprod Med"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2005.10.039"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.06.013"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.29252\/ijrm.14.11.705"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31821d455a"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-007-0495-1"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-006-0309-x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.33.4.705"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00060.x"},{"key":"e_1_2_6_14_1","first-page":"789","article-title":"Decreased amniotic fluid index in term pregnancy. 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