Abstract
(Acta Obstet Gynecol Scand. 2021;100:220–228) Induction of labor (IOL) has been associated with an increased risk of cesarean delivery (CD), when compared with spontaneous onset of labor. But when compared with expectant management, randomized controlled trials (RCTs) and observational studies have found that nonmedically indicated or “elective” IOL is associated with fewer CD. Expectant management is typically defined as all births at a later gestation, usually >41 weeks, regardless of mode of delivery. However, this definition may bias clinicians to favor IOL earlier or at full term when considering the risk of expectant management in the short term, or until the next appointment when IOL may be reconsidered. The aim of this study was to evaluate the risk of CD after elective IOL using the 2 definitions of expectant management.
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