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This is a subtle difference, but an important one, because not all women who choose to wait will actually have a spontaneous labor; some of them will develop complications that lead to an induction and increase their risk for C-section.The researchers argued that the comparison group must include that group of women.This graphic shows how you would look at the two groups: the elective induction group vs.
They argued that earlier studies—where elective induction showed a doubling in C-section rates—were flawed.
In the earlier studies, elective induction was compared only to spontaneous labor: women who were electively induced vs. Excluded from these two groups are women who were not electively induced, but chose to wait for labor and then ended up having medically indicated inductions later on (and, thus, a higher rate of C-sections).
For an example of this earlier flawed research, see this article by New researchers pointed out that we need to compare women who have elective inductions with the whole group of women who choose to wait for spontaneous labor—whether or not they actually do have spontaneous labor.
What is an estimated due date, and how is it determined? Do women’s goals and preferences for their births matter?
At which point do the benefits of being electively induced outweigh the risks?
Inductions for non-medical reasons have been on the rise in the U. Increasingly, more women are being induced because they have reached their estimated “due date” of 40 weeks.
According to the 2013 Listening to Mothers III survey, more than four out of ten mothers (41%) in the U. said that their care provider tried to induce labor ().
The researchers asked women to select the reasons that they were induced.
What was the single most common reason for labor induction?
Out of all women who were induced, 44% said that they were induced because their baby was full term and it was “close to the due date.” Another 18% said that they were induced because the health care provider was concerned that the mother was “overdue.”For many years, the common belief was that elective (not medically indicated) inductions doubled the C-section rate, especially in first-time mothers.
Elective inductions might occur for social reasons, like the doctor wanting the mom to give birth before he or she goes out of town, or other non-medical reasons like the mother wanting to be done with an uncomfortable pregnancy.