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Analysis of institutional authors

Banos, NCorresponding AuthorMigliorelli, FAuthorPalacio, MAuthor

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November 6, 2015
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Definition of Failed Induction of Labor and Its Predictive Factors: Two Unsolved Issues of an Everyday Clinical Situation

Publicated to: Fetal Diagnosis And Therapy. 38 (3): 161-169 - 2015-01-01 38(3), DOI: 10.1159/000433429

Authors:

Banos, Nuria; Migliorelli, Federico; Posadas, Eduardo; Ferreri, Janisse; Palacio, Montse
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Affiliations

BCNatal - Barcelona Center for Maternal-Fetal and Neonatal Medicine, Hospital Clinic and Hospital Sant Joan de Deu, Fetal i+D Fetal Medicine Research Center, IDIBAPS, University of Barcelona, Barcelona, Spain - Author
Univ Barcelona, BCNatal Barcelona Ctr Maternal Fetal & Neonatal M, Hosp Clin, Sabino Arana 1, ES-08028 Barcelona, Spain Univ Barcelona, Hosp Sant Joan Deu, Fetal i D Fetal Med Res Ctr, IDIBAPS, Barcelona, Spain - Author

Abstract

The objectives of this review were to identify the predictive factors of induction of labor (IOL) failure or success as well as to highlight the current heterogeneity regarding the definition and diagnosis of failed IOL.Only studies in which the main or secondary outcome was failed IOL, defined as not entering the active phase of labor after 24 h of prostaglandin administration ± 12 h of oxytocin infusion, were included in the review. The data collected were: study design, definition of failed IOL, induction method, IOL indications, failed IOL rate, cesarean section because of failed IOL and predictors of failed IOL.The database search detected 507 publications. The main reason for exclusion was that the primary or secondary outcomes were not the predetermined definition of failed IOL (not achieving active phase of labor). Finally, 7 studies were eligible. The main predictive factors identified in the review were cervical status, evaluated by the Bishop score or cervical length.Failed IOL should be defined as the inability to achieve the active phase of labor, considering that the definition of IOL is to enter the active phase of labor. A universal definition of failed IOL is an essential requisite to analyze and obtain solid results and conclusions on this issue. An important finding of this review is that only 7 of all the studies reviewed assessed achieving the active phase of labor as a primary or secondary IOL outcome. Another conclusion is that cervical status remains the most important predictor of IOL outcome, although the value of the parameters explored up to now is limited. To find or develop predictive tools to identify those women exposed to IOL who may not reach the active phase of labor is crucial to minimize the risks and costs associated with IOL failure while opening a great opportunity for investigation. Therefore, other predictive tools should be studied in order to improve IOL outcome in terms of health and economic burden.© 2015 S. Karger AG, Basel.
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Keywords

bishop scorecervical lengthcesarean deliverydigital examinationelective inductionfailed induction of laborfetal fibronectinpredictive factorssonographic measurementtransvaginal ultrasoundultrasound examinationuterine cervixAdultExpectant managementFailed induction of laborFemaleHumansInduction of laborInduction of laborsLabor, inducedOxytocinPredictive factorsPregnancyProstaglandinsTransvaginal ultrasoundTreatment failure

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal FETAL DIAGNOSIS AND THERAPY due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2015, it was in position 18/80, thus managing to position itself as a Q1 (Primer Cuartil), in the category Obstetrics & Gynecology.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations provided by WoS (ESI, Clarivate), it yields a value for the citation normalization relative to the expected citation rate of: 2.25. This indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 13, 2025)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Weighted Average of Normalized Impact by the Scopus agency: 1.74 (source consulted: FECYT Mar 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2026-04-05, the following number of citations:

  • WoS: 52
  • Scopus: 34
  • Europe PMC: 21
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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-05:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 212 (PlumX).
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Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Baños López, Núria) and Last Author (Palacio Riera, Montserrat).

the author responsible for correspondence tasks has been Baños López, Núria.

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