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Elective Induction: When? Ever?

GROBMAN, WILLIAM A. MD, MBA

Clinical Obstetrics and Gynecology: June 2007 - Volume 50 - Issue 2 - p 537-546
doi: 10.1097/GRF.0b013e31804bdec4
Current Controversies in Obstetrics: What Is an Obstetrician to Do?

The frequency of labor induction has increased significantly in recent years. Although medically indicated inductions comprise a portion of this increase, elective inductions have increased in frequency as well. Given that elective inductions, by definition, provide no benefit from a strictly medical standpoint, it is particularly important to evaluate whether women who undergo these inductions incur greater risks than those who labor spontaneously. This article will assess whether elective inductions are associated with changes in pregnancy outcomes, and evaluate how these associations are influenced by parity and cervical ripeness.

Department of Obstetrics and Gynecology, Northwestern University Medical School, Chicago, Illinois

Correspondence: William A. Grobman, MD, MBA, 333 East Superior Street, Suite 410, Chicago, IL 60611. E-mail: w-grobman@northwestern.edu

© 2007 Lippincott Williams & Wilkins, Inc.