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Obstetric “Conveniences”: Elective Induction of Labor, Cesarean Birth on Demand, and Other Potentially Unnecessary Interventions

Simpson, Kathleen Rice PhD, RNC, FAAN; Thorman, Kathleen E. PhD, RN

Journal of Perinatal & Neonatal Nursing: April/June 2005 - Volume 19 - Issue 2 - p 134–144
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Common obstetric interventions are often for “convenience” rather than for clinical indications. Before proceeding, it should be clear who is the beneficiary of the convenience. The primary healthcare provider must make sure that women and their partners have a full understanding of what is known about the associated risks, benefits, and alternative approaches of the proposed intervention. Thorough and accurate information allows women to choose what is best for them and their infant on the basis of the individual clinical situation. Ideally, this discussion takes place during the prenatal period when there is ample opportunity to ask questions, reflect on the potential implications, and confer with partners and family members. A review of common obstetric interventions is provided. While these interventions often are medically indicated for the well-being of mothers and infants, the evidence supporting their benefits when used electively is controversial.

St. John's Mercy Medical Center, St. Louis, Mo.

Corresponding author: Kathleen Rice Simpson, PhD, RNC, FAAN, 7140 Pershing Ave, St. Louis, MO 63130 (e-mail: KRSimpson@prodigy.net).

Submitted for publication: January 15, 2005, Accepted for publication: February 17, 2005

© 2005 Lippincott Williams & Wilkins, Inc.