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Global perspectives on elective induction of labor
Joshua P Vogel1, Ahmet M Metin Gülmezoglu, George J Hofmeyr
1*School of Population Health, Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Crawley, Western Australia, Australia †UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland; ‡Effective Care Research Unit, University of the Witwatersrand/Fort Hare, Eastern Cape Department of Health, Eastern Cape, South Africa.
Elective labor induction is becoming more common globally. Further research is needed to understand its safety and cost-effectiveness, especially in resource-limited areas.
Area of Science:
- Obstetrics and Gynecology
- Global Health
Background:
- Elective labor induction is a growing practice worldwide.
- Safety and cost-effectiveness remain unclear, particularly in low-resource settings.
- Resource-constrained environments face challenges in providing adequate care for inductions.
Purpose of the Study:
- To examine the global epidemiology of elective labor induction.
- To assess the safety and cost-effectiveness of elective labor induction.
- To understand practices and challenges in various global settings.
Main Methods:
- Review of global data on labor induction practices.
- Analysis of safety and cost-effectiveness studies.
- Consideration of resource limitations and healthcare access.
Main Results:
- Elective induction rates are rising globally.
- Data on safety and cost-effectiveness is limited, especially in low-income countries.
- Significant disparities exist in resources and care quality for labor induction.
Conclusions:
- More research is essential to ensure safe and effective elective labor induction globally.
- Addressing resource limitations is crucial for equitable and safe practices.
- Global guidelines should consider varying healthcare capacities.
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