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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 …
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