Elective induction, selective deduction and cesarean section

Marc Keirse

doi:10.1111/j.1523-536X.2010.00413.x

Elective induction, selective deduction and cesarean section

Marc Keirse

Research output: Contribution to journal › Comment/debate

8 Citations (Scopus)

Abstract

A recent systematic review found no "good quality evidence" that elective induction of labor confers substantial benefits to either mothers or babies, but concluded that elective induction is associated with a decreased risk of "cesarean delivery." Admittedly, elective induction was qualified as "at 41 weeks of gestation and beyond" with 42 weeks being proclaimed as the cutoff point between "elective" and "medically indicated." Major predictors of the success of any induction and the subsequent mode of delivery, such as parity and cervical status, were not taken into account. Crucial boundaries between what is elective and what is selective, what is medically indicated and what is not, and what is maternal request or persuasive coercion, remain as vague as ever. (BIRTH 37:3 September, 2010)

Original language	English
Pages (from-to)	252-256
Number of pages	5
Journal	Birth - Issues in Perinatal Care
Volume	37
Issue number	3
DOIs	https://doi.org/10.1111/j.1523-536X.2010.00413.x
Publication status	Published - Sep 2010

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10.1111/j.1523-536X.2010.00413.x

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AB - A recent systematic review found no "good quality evidence" that elective induction of labor confers substantial benefits to either mothers or babies, but concluded that elective induction is associated with a decreased risk of "cesarean delivery." Admittedly, elective induction was qualified as "at 41 weeks of gestation and beyond" with 42 weeks being proclaimed as the cutoff point between "elective" and "medically indicated." Major predictors of the success of any induction and the subsequent mode of delivery, such as parity and cervical status, were not taken into account. Crucial boundaries between what is elective and what is selective, what is medically indicated and what is not, and what is maternal request or persuasive coercion, remain as vague as ever. (BIRTH 37:3 September, 2010)

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