SPONTANEOUS LABOUR AND ELECTIVE INDUCTION—A PROSPECTIVE RANDOMIZED STUDY Behavioural Assessment and Neurological Examination in the Newborn Period

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Abstract
The effect of induction of labor on the fetus and the newborn was investigated in a prospective, randomized study. Neonates (41) were studied after induction at full term by amniotomy and i.v. oxytocin infusion. The infusion rate was regulated by the intraamniotic pressure using the Cardiff infusion pump system. Neonates (39) served as controls where the labor started spontaneously followed by amniotomy. Fetal heart rate monitoring and intraamniotic pressure recordings were performed in both groups. There were no differences in Apgar score and pH in cord blood between the groups. The newborns were evaluated the 1st and the 5th day of life with the Brazelton Neonatal Behavioral Assessment Scale and with a modified Prechtl neurological examination. There were no differences in behavior and neurological state between the 2 groups. Within the groups there were significant differences between the 1st and the 5th day concerning both neonatal behavior and neurological state.

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