Mother, Fetus, NeonateSMFM Statement on Elective Induction of Labor in Low-Risk Nulliparous Women at Term: The ARRIVE Trial Society of Maternal-Fetal Medicine (SMFM) Publications CommitteeAuthor Information Society for Maternal-Fetal Medicine, Washington, DC Obstetric Anesthesia Digest: June 2020 - Volume 40 - Issue 2 - p 82-83 doi: 10.1097/01.aoa.0000661400.43720.ad Buy Metrics Abstract (Am J Obstet Gynecol. 2019;221:B2–B4) Elective induction of labor (IOL) has historically been associated with worse perinatal outcomes and increased risk of cesarean delivery compared with spontaneous labor. However, these conclusions were drawn from observational cohort studies between women of the same gestational age who were either induced or went into spontaneous labor, and with time investigators recognized this comparison to be inappropriate. Spontaneous labor is not a chosen option of delivery; therefore, the options are IOL or expectant management with either the onset of spontaneous labor or IOL for obstetric indications at a later date. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.