Abstract
(Am J Obstet Gynecol. 2019;221:304–310) Obstetric care providers previously believed that elective induction of labor for low-risk nulliparous women at full term would increase the likelihood of cesarean delivery, but recent research disputes this belief. Recently, the American College of Obstetricians and Gynecologists (ACOG), supported by the Society of Maternal-Fetal Medicine (SMFM), created a Practice Advisory that approved elective induction for low-risk nulliparous women at 39 weeks gestation. The aim of this study was to analyze observational studies on elective induction of labor at 39 weeks’ gestation versus expectant management at 39 weeks to determine the relationship between elective induction and cesarean delivery as well as perinatal and maternal outcomes.
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