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Re: ACOG and labor inductions.From: Ed Shackeroff (eshackmd@intelenet.net)Sun Nov 30 16:45:29 1997
Thanks for the reference, Dr. GLazerman. I don't have it at hand, but one of the committee opinions or technical bulletins DOES expressly allow for "elective" inductions at 39 weeks, assuming excellent dating.It might be in the same one you referenced. A favorable Bishop score is intuitive. Here's a point that Tom Garite recently brought up at a recent conference,(I didn't get the original study from him)... that induction alone is a high correlation for unneseccary C/Sections. Of course, logically, medical inductees might be itself a high risk for C/S, but Garite extrapolated for elective inductions as well. In conversation with him, I related that was not my personal (anectdotal) experience, and am reviewing my last 100 inductions to prove it. I still do not feel that, in my own practice, induction per se raises the chance of C/S. My own C/S rate has fallen for the past 3 years, and my induction numbers have risen. I do a lot of inducing electively as well. Speaking of ACOG, Could anyone help me get BACK in to the ACOG site??? I lost my username and password from two years ago, and for the past several months, ACOG has resisted my attempts to re-enter, even with new registration attempts. They never answer email. ALso, I could use the latest Technical bulletin on Group B Strep, if any one could email me a copy. Thanks in advance,
-- Ed Shackeroff,MD, FACOG (sans password) Los Alamitos,CA
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