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Updated: May 20, 2026
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Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
A systematic review of implementing an elective labor induction policy
D Claudia Akinsipe1, Laura E Villalobos2, Renee T Ridley3
1works on a surgical unit at Ben Taub General Hospital, Houston, TX.
Summary
Implementing hospital policies to reduce elective labor induction led to fewer inductions, cesarean births, and maternal/neonatal complications. This approach encourages spontaneous labor, improving birth outcomes.
Area of Science:
- Obstetrics
- Maternal-Fetal Medicine
- Healthcare Policy
Background:
- Elective labor induction is a common obstetric procedure.
- Variations in hospital policies may influence induction rates and outcomes.
- Evidence is needed on the impact of specific policy implementations.
Purpose of the Study:
- To assess the effect of hospital policies designed to decrease elective labor induction.
- To evaluate the impact on spontaneous labor rates and associated delivery outcomes.
Main Methods:
- Systematic review of observational studies (2000-2010) from PubMed, CINAHL, Cochrane, and DAI.
- Included six retrospective and three prospective studies analyzing induction policies.
- Focused on interventions, induction rates, cesarean rates, and maternal/neonatal morbidity.
Main Results:
- Policy implementation correlated with reduced rates of labor induction.
- Observed decreases in cesarean deliveries and operative/instrumental vaginal births.
- Lower maternal and neonatal morbidity rates were associated with policy changes.
Conclusions:
- Hospital policies aimed at reducing elective induction are effective.
- These policies can lead to increased spontaneous labor and improved safety.
- Development and implementation of such policies are recommended for all delivery units.
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