Elective induction of labour in low risk nulliparous women at term: Caution is needed

Tullio Ghi1, Andrea Dall'Asta1, Stefania Fieni1

  • 1Department of Medicine and Surgery, Unit of Surgical Sciences, Obstetrics and Gynecology, University of Parma, Parma, Italy.

The recently published ARRIVE trial demonstrated that "policies aimed at the avoidance of elective labour induction among low-risk nulliparous women at 39 weeks of gestation are unlikely to reduce the rate of caesarean delivery on a population level". In this commentary we discuss some controversial aspects of the study that in our opinion may undermine its validity at wide population level.

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