Elective induction of labor: friend or foe?

Elective induction of labor is defined as labor induction in the absence of a clear medical indication. Whether elective labor induction at 39 weeks is a reasonable option for obstetric practice has been a hotly debated topic for decades. Historically, labor induction in low-risk nulliparous women h...

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Bibliographic Details
Published inSeminars in perinatology Vol. 44; no. 2; p. 151214
Main Authors Einerson, Brett. D., Grobman, William A.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.03.2020
Subjects
Cesarean
Labor induction
Neonatal morbidity
Obstetrics
Shared decision making
Neonatal morbidity
Shared decision making
Labor induction
Obstetrics
Cesarean
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Summary:Elective induction of labor is defined as labor induction in the absence of a clear medical indication. Whether elective labor induction at 39 weeks is a reasonable option for obstetric practice has been a hotly debated topic for decades. Historically, labor induction in low-risk nulliparous women has been discouraged due to the belief that this intervention increases the risk for cesarean delivery without a clear benefit. This review discusses the observational and randomized data that have informed this debate, focusing on recent studies that have reshaped how we think about elective labor induction at 39 weeks of gestation.
Bibliography:ObjectType-Article-2
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ObjectType-Review-1
ISSN:0146-0005
1558-075X
DOI:10.1016/j.semperi.2019.151214