Classification of labor induction according to the Grenoble and Nippita systems. A cross-sectional and comparative study

Jakub Młodawski; Marta Mlodawska; Natalia Walter; Aleksandra Bielak; Katarzyna Bialek; Grzegorz Swiercz

doi:10.5114/ms.2024.145777

eISSN: 2300-6722
ISSN: 1899-1874

Medical Studies/Studia Medyczne

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abstract:

Original paper

Classification of labor induction according to the Grenoble and Nippita systems. A cross-sectional and comparative study

Jakub Młodawski

¹

,

Marta Mlodawska

¹

,

Natalia Walter

²

,

Aleksandra Bielak

²

,

Katarzyna Bialek

¹

,

Grzegorz Swiercz

¹

Collegium Medicum, Jan Kochanowski University, Kielce, Poland
Eskulap” Student’s Scientific Society, Jan Kochanowski University, Kielce, Poland

Medical Studies/Studia Medyczne

DOI: https://doi.org/10.5114/ms.2024.145777

Online publish date: 2025/02/10

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Introduction
Labor induction (IOL) is a prevalent procedure that plays a significant role in reducing maternal and neonatal morbidity and mortality. One of the essential aspects of this process is the standardization of IOL procedures, which aids in the systematic analysis of outcomes. Currently, the most widely used system for this purpose is the Nippita classification (NC). However, there is a newly proposed system, the Grenoble classification (GC) that is aimed at an innovative standardization system.

Aim of the research
The main objective of this study is to draw a comprehensive comparison between the categorization of IOL procedures under the existing NC and the newly proposed GC system.

Material and methods
Our study was carried out in a third-level center in Poland, where we observed a sample of 819 patients who underwent IOL. We considered common indications for IOL, including post-term pregnancy, premature rupture of membranes, and gestational diabetes.

Results
Upon comparing the NC and GC, we found significant differences in the distribution of patients among various categories. The most commonly observed categories were N3 and G5 in NC and GC, respectively (33.3% and 51.64%). Additionally, differences were identified in the proportion of patients who underwent cesarean section across homogeneous categories in both systems.

Conclusions
The insights derived from this study suggest that the GC may provide a more suitable framework for standardizing IOL procedures as it accounts for additional obstetric criteria. Implementing a universal classification system for IOL could enhance outcome monitoring capabilities and foster the development of perinatal care worldwide.

keywords:

Classification of labor induction according to the Grenoble and Nippita systems. A cross-sectional and comparative study

Jakub Młodawski 1 , Marta Mlodawska 1 , Natalia Walter 2 , Aleksandra Bielak 2 , Katarzyna Bialek 1 , Grzegorz Swiercz 1

induction of labor, Nippita system, Grenoble system

Jakub Młodawski

¹

,

Marta Mlodawska

¹

,

Natalia Walter

²

,

Aleksandra Bielak

²

,

Katarzyna Bialek

¹

,

Grzegorz Swiercz

¹