Labor Induction versus Expectant Management in Low-Risk Nulliparous Women

• Published in: The New England journal of medicine Vol. 379; no. 6; pp. 513 - 523
• Main Authors: Grobman, William A, Rice, Madeline M, Reddy, Uma M, Tita, Alan T.N, Silver, Robert M, Mallett, Gail, Hill, Kim, Thom, Elizabeth A, El-Sayed, Yasser Y, Perez-Delboy, Annette, Rouse, Dwight J, Saade, George R, Boggess, Kim A, Chauhan, Suneet P, Iams, Jay D, Chien, Edward K, Casey, Brian M, Gibbs, Ronald S, Srinivas, Sindhu K, Swamy, Geeta K, Simhan, Hyagriv N, Macones, George A
• Format: Journal Article
• Language: English
• Published: United States Massachusetts Medical Society 09.08.2018
• Subjects: Adult; Cesarean section; Cesarean Section - statistics & numerical data; Childbirth & labor; Clinical decision making; Clinical outcomes; Clinical trials; Decision making; Disease management; Evidence-based medicine; Family medical history; Female; Fetuses; Gestation; Gestational Age; Gynecology; Health risk assessment; Humans; Induced labor; Infant, Newborn; Infant, Newborn, Diseases; Labor Pain - classification; Labor, Induced - adverse effects; Maternal & child health; Minority & ethnic groups; Neonates; Obstetrics; Parity; Perinatal Death; Postpartum Hemorrhage; Pregnancy; Pregnancy Outcome; Pregnancy Trimester, Third; Risk; Ultrasonic imaging; Watchful Waiting; Womens health; United States > US; Ohio; Chicago Illinois
• ISSN: 0028-4793; 1533-4406
• DOI: 10.1056/NEJMoa1800566

In a randomized trial comparing induction of labor with expectant management at 39 weeks in low-risk nulliparous women, induction did not result in a significantly lower frequency of adverse perinatal outcomes, but it did result in a lower frequency of cesarean delivery.