Re: ACOG and labor inductions.

From: rbraun@iupui.edu
Wed Dec 3 13:21:09 1997


This has been studied for the 41 week gestation. MJ Hannah from Toronto did a meta-analysis of trials looking at induction at 41 weeks versus watching with NST's and AFI's until 42 weeks. The highest cesarean rate was in the group that was observed. The increase was in those done for fetal distress because of oligo and severe cord compression.

R. Daniel Braun, MD FACOG

On Sun, 30 Nov 1997, Larry Glazerman wrote:

> We often discuss the issue of induction per se raising the CS rate. I would
> agree that it would intuitively make sense that in the universe of patients
> whose labors are induced, the CS rate is probably higher. It would also
> intuitively make sense, though, that a multip with a very favorable cervix,
> being induced "electively", should not have a higher incidence of CS.
>
> I also wonder whether the use of cervical ripening agents helps (I think it
> does.)
>
> Larry R. Glazerman, M.D. FACOG
> Valley Ob-Gyn Associates
> Allentown PA
> glazerman@enter.net
>





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