The objective of the study was to determine the association between clinical outcomes and induction of labor at 39 weeks in a national sample of low-risk patients with one prior cesarean delivery. Findings suggest that when compared to expectant management, elective induction of labor at 39 weeks in low-risk patients with one prior cesarean delivery was associated with a significantly higher likelihood of vaginal delivery with no difference in composite maternal and neonatal morbidity outcomes. Prospective studies are needed to better elucidate the risks and benefits of induction of labor in this patient population.

https://pubmed.ncbi.nlm.nih.gov/38852849/

References

  1. Martin JA HB, Osterman MJK. Births in the United States, 2021. NCHS Data Brief, no 442. 357 Hyattsville, MD: National Center for Health Statistics. 2022.

  2. Simpson KR. Trends in Labor Induction in the United States, 1989 to 2020. MCN: The 365 American Journal of Maternal/Child Nursing. 2022;47(4):235. 

  3. Gilroy LC, Al-Kouatly HB, Minkoff HL, McLaren RA, Jr. Changes in obstetrical practices 455 and pregnancy outcomes following the ARRIVE trial. Am J Obstet Gynecol. 456 2022;226(5):716.e711-716.e712. 

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Maternal & Infant Health  Maternal Health  Maternal/Fetal health during pregnancy  

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