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To identify independent risk factors for cesarean delivery after induction of labor IOL and to develop a nomogram for predicting cesarean delivery among nulliparous women undergoing IOL at term. Inductions were identified using ICD-9 codes. Demographic, delivery, and outcome data were abstracted manually from the medical record. Women with a contraindication to vaginal delivery malpresentation, abnormal placentation, prior myomectomy were excluded. Independent risk factors for cesarean delivery were identified using logistic regression.

Just as every pregnancy is different, every delivery is unique. Some women get no clues that labor is around the corner, and then -- wham! Others have telltale signs for weeks, maybe even a false start or two, before the real thing begins. The simple truth is, there's no way to predict exactly when you'll go into labor. In fact, no one even knows for sure what triggers the big event, although hormones are thought to play a part. Still, there are at least six concrete clues that your baby is preparing to make his or her grand entrance into the world. For first-time moms, lightening can occur a few weeks before your baby's birth; for second-timers it may take place only a few hours before labor begins.

If you're pregnant, sex might be the last thing on your mind — or the first, depending on what your hormones are doing to your sex drive. But seriously, with all the changes happening to your body and your emotions, you might be wondering whether sex is a good idea — or whether it's safe for the baby or babies growing inside you. So we spoke to two experts to find out: Dr. So if you want to have sex and you get the green light from your doctor, go ahead! It can be a great way for partners to bond and stay intimate as they wait for the baby to arrive, Minkin says.

When it's smart to say no -- to protect your baby and yourself. Pregnancy sex can be an amazing thing -- if you have a healthy, uncomplicated pregnancy. But having sex during pregnancy isn't always a good thing and, in fact, if any of the following conditions are a concern during your pregnancy, your health-care provider may recommend that you stop having sex. Sexually transmitted diseases STD.