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Elective induction of labor: A prospective observational study.
Malin Dögl1,2, Pål Romundstad3, Line Dahlgaard Berntzen4
1Department of Obstetrics and Gynecology, St. Olav's Hospital, University Hospital of Trondheim, Trondheim, Norway.
Plos One
|November 30, 2018
Summary
Elective induction of labor, without strict medical indication, accounts for 10% of inductions in Norway. These elective inductions, often for maternal request, show similar cesarean rates to medically indicated ones.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
Background:
- Induction of labor is a common obstetric procedure.
- Understanding indications and outcomes for elective versus medically indicated labor induction is crucial for clinical practice.
Purpose of the Study:
- To evaluate the indications for induction of labor.
- To compare characteristics and delivery outcomes between medically indicated and elective labor inductions in Norway.
Main Methods:
- A prospective study involving 1663 term inductions across 24 Norwegian delivery units.
- Data collected included induction indications, Bishop scores, delivery mode, and maternal/fetal outcomes.
- Comparison between medically indicated and elective induction groups.
Main Results:
- Elective inductions constituted 10% of all inductions.
- Common reasons for elective induction included maternal request (35%), previous negative delivery experience (19%), fatigue (17%), and anxiety (15%).
- Cesarean section rates were similar: 14% for elective inductions versus 17% for medically indicated inductions.
Conclusions:
- Approximately 10% of labor inductions in Norway are performed electively, often driven by maternal request or psychosocial factors.
- Elective induction of labor does not appear to increase the risk of cesarean delivery compared to medically indicated induction.
- The majority (86%) of elective inductions result in vaginal delivery.
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