Abstract

(Am J Obstet Gynecol. 2019;220:273.e1–273.e11) Induction of labor has been compared with expectant management of pregnancy in several studies and found to be associated with a lower rate of cesarean delivery and reduced perinatal death and morbidity. Two recent randomized controlled trials have found no increase or a decrease in cesarean birth rate in women who were induced at term, but these studies focused on specific age groups and may not speak to outcomes in the general population. This study aimed to compare neonatal and maternal outcomes in women undergoing elective induction of labor at 39 weeks gestation or beyond with the outcomes of women whose pregnancies were managed expectantly.

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