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  • Maternal and neonatal outcomes in nulliparous women undergoing non-medically indicated induction of labour or expectant management at 38–41 weeks gestation

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Aetiology/Harm
Cohort study
Maternal and neonatal outcomes in nulliparous women undergoing non-medically indicated induction of labour or expectant management at 38–41 weeks gestation
  1. Kelly S Gibson
  1. Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio, USA
  1. Correspondence to : Dr Kelly S Gibson, MD, Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University, 2500 Metrohealth Drive, Cleveland, OH 44109, USA; kgibson{at}metrohealth.org

https://doi.org/10.1136/ebmed-2015-110177

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    Commentary on: Bailit JL, Grobman W, Zhao Y, et al, ; Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units (MFMU) Network. Nonmedically indicated induction vs expectant treatment in term nulliparous women. Am J Obstet Gynecol 2015;212:103.e1–7OpenUrlCrossRef.

    Context

    In the last decade, our understanding of the associations connected with induction of labour have greatly improved as the conventional comparisons with spontaneous labour have been replaced with the appropriate alternative of expectant management.1 Starting with smaller single site studies,2 followed by administrative databases3 ,4 and with validated databases now abstracted directly from medical records,5 multiple studies showed no association or a decrease in caesarean delivery with induction, as well as a decreased risk for some …

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    Footnotes

    • Competing interests None.

    • Provenance and peer review Commissioned; internally peer reviewed.