Article Text

other Versions

PDF
Cohort study
Elective induction of labour is associated with decreased perinatal mortality and lower odds of caesarean section at 40 and 41 weeks
  1. Aaron B Caughey
  1. Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon, USA
  1. Correspondence to: Dr Aaron B Caughey
    OHSU, OB Gyn, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA; caughey{at}ohsu.edu

Statistics from Altmetric.com

Commentary on: OpenUrlAbstract/FREE Full Text

Context

Induction of labour can be utilised to intervene in a pregnancy when the risks of ongoing pregnancy outweigh that of intervention. Elective induction of labour is labour induction without a clear medical or obstetric indication. It is widely believed to increase caesarean delivery, posing unnecessary risks to mother and fetus.1 ,2 However, little objective information supports this conclusion, and a meta-analysis of randomised trials3 found that elective induction decreased caesarean delivery compared to expectant management (ie, allowing the pregnancy to progress, leading to delivery at a later gestational age).

While many past observational studies1 ,2 have found higher risk of adverse outcomes with elective induction, these …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.