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Elective induction of labor: part 1.

The Journal of the Oklahoma State Medical Association·2008

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Elective induction of labor: part 2.

Warren Crosby¹

¹warren-crosby@ouhsc.edu

The Journal of the Oklahoma State Medical Association

|January 31, 2009

Summary

Elective labor induction is common, but risks are minimal with proper screening and informed consent. The main concern is a higher Cesarean delivery rate for first-time mothers (primigravidas).

Area of Science:

Obstetrics and Gynecology
Maternal-Fetal Medicine

Background:

Elective labor induction is increasingly common.
Concerns exist regarding potential risks to mother and fetus compared to spontaneous labor onset.

Purpose of the Study:

To review the risks and benefits of elective labor induction.
To assess the safety of elective induction when patients are properly screened and informed.

Main Methods:

Literature review of studies on elective labor induction.
Analysis of risks (Cesarean delivery) and benefits (social convenience).

Main Results:

Risks are minimal with proper medical screening and informed consent.
A doubled risk of Cesarean delivery is noted for primigravidas undergoing elective induction.

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Benefits are primarily social, offering convenience for patients and physicians.

Conclusions:

Elective labor induction is generally safe when medically screened and patients are well-informed.
Informed consent is crucial for balancing medical risks and social benefits.
The primary medical risk identified is an increased Cesarean delivery rate in primigravidas.