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Elective induction of labor: friend or foe?
Brett D Einerson1, William A Grobman2
1University of Utah Health, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Salt Lake City, UT, United States.
Abstract:
Elective induction of labor is defined as labor induction in the absence of a clear medical indication. Whether elective labor induction at 39 weeks is a reasonable option for obstetric practice has been a hotly debated topic for decades. Historically, labor induction in low-risk nulliparous women has been discouraged due to the belief that this intervention increases the risk for cesarean delivery without a clear benefit. This review discusses the observational and randomized data that have informed this debate, focusing on recent studies that have reshaped how we think about elective labor induction at 39 weeks of gestation.
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