Navigation Links
Induced Labor Late in Pregnancy Has Pros, Cons

THURSDAY, May 10 (HealthDay News) -- Inducing labor after a woman has been pregnant for more than 37 weeks can reduce an infant's risk of death before, during or shortly after birth without increasing the need for cesarean delivery, a new study says.

However, babies born after induced labor were also more likely to require admission to a hospital's infant intensive care unit, said researchers led by Sarah Stock of the School of Women and Infant's Health at University of Western Australia.

One expert not connected to the study called it "an important article."

The work "confirms a prior retrospective study demonstrating that induction of labor is not associated with an increase in cesarean section," said Dr. Joanne Stone, a professor of obstetrics, gynecology and reproductive science at Mount Sinai School of Medicine in New York City.

"In addition, while there is a small increase in NICU [neonatal intensive care unit] admission, the prevention of fetal/neonatal death is an extremely important finding," she said.

The study involved data on more than 1.2 million women in Scotland who gave birth to a single baby after 37 weeks of gestation (40 weeks is considered full term).

Stock and colleagues found that induction of labor between 37 and 41 weeks' gestation was associated with a lower risk of death for infants, compared with "expectant management," which is the continuation of pregnancy until either natural birth or a C-section.

For example, at 40 weeks' gestation, deaths occurred in 37 of almost 45,000 deliveries (0.08 percent) in the induction group and in 627 of almost 351,000 cases (0.18 percent) in the expectant management group.

Induced labor did not increase the need for C-section, but infants born after induced labor had higher rates of admission to a special care baby unit than those born after expectant management -- 8 percent versus 7.3 percent.

According to the authors, these findings mean that for every 1,040 women who undergo induced labor at 40 weeks, one newborn death would be prevented. However, there would also be seven extra admissions to an intensive care baby unit.

Not everyone agreed with the study conclusions, however.

"The authors' conclusion that elective induction of labor at term has the potential to reduce perinatal mortality in developed countries without increasing the risk of operative delivery is probably not true," said Dr. James Ducey, director of Maternal Fetal Medicine at Staten Island University Hospital in New York City.

He believes that "the best predictor of whether or not an induction of labor will result in an operative delivery is the status of the cervix (opening of the womb) when the induction is begun. This was not looked at in this study. It is highly likely that labor was induced electively only in those women whose cervices were favorable."

The study was published online May 10 in the BMJ.

More information

The Nemours Foundation has more about inducing labor.

-- Robert Preidt

SOURCES: Joanne Stone, M.D., professor, obstetrics, gynecology and reproductive science, Mount Sinai School of Medicine, New York City; James Ducey, M.D., director, Maternal Fetal Medicine, Staten Island University Hospital, New York City; BMJ, news release, May 10, 2012

Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. A novel in vitro model for light-induced wound healing
2. Treatment of portal hypertensive pulmonary lesions induced by schistosomiasis
3. Free Seminars to Help Employers Prevent Noise-Induced Hearing Loss Among Workers Set for Phoenix, Reno, Salt Lake City, Denver in May
4. Octreotide acetate does not prevent treatment-induced diarrhea in anorectal cancer
5. Combination antibiotics effective against chlamydia-induced arthritis
6. Trauma-induced changes to genes may lead to PTSD
7. Millions Are Losing Their Hearing Unnecessarily; Noise-Induced Hearing Loss Is Always Preventable, Says HearUSA Audiologist
8. Sun-induced skin cancer: new discovery permits doctors to assess genetic risk
9. Haptoglobin as an early serum biomarker of virus-induced type 1 diabetes in rats
10. Which comes first: Exercise-induced asthma or obesity?
11. Johns Hopkins researchers develop safer way to make induced pluripotent stem cells
Post Your Comments:
Related Image:
Induced Labor Late in Pregnancy Has Pros, Cons
(Date:11/25/2015)... ... November 25, 2015 , ... For the first time, Vitalalert ... Organizations, One Beat ” campaign. The partnership between the two groups began in 2014 ... MAP International’s cause. , MAP International was founded in 1954 and is an international ...
(Date:11/25/2015)... ... ... On November 25, 2015, officials of Narconon Arrowhead , the drug rehabilitation ... new cutting edge recovery program that has been 50 years in the making. ... with the purpose to free addicts from the symptoms and negative behaviors of addiction. ...
(Date:11/25/2015)... ... ... Smiles by Stevens is pleased to announce the addition of Botox® for ... aware of the benefits of Botox® in the treatment of moderate facial wrinkling, few ... and pain as a result of Jaw Tension, TMJ (temporo-mandibular joint) disorder, and Bruxism ...
(Date:11/25/2015)... ... November 25, 2015 , ... In an ongoing Clinical Study conducted by an ... IL, UV Angel is evaluating the efficacy of its product and its disinfection protocol. ... 30 beds) from May 2014 through October 2015 at a 360-bed, acute-care, academic medical ...
(Date:11/25/2015)... Spring, Md (PRWEB) , ... November 25, 2015 ... ... Pulmonary Hypertension Association (PHA) announces the nation’s Periwinkle Pioneers, individuals and groups responsible ... history of this disease. The Periwinkle Pioneers, nominated by the public, will receive ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... 2015 Kitov Pharma ceuticals ... a biopharmaceutical company focused on the development of therapeutic ... today announced the closing of its previously announced underwritten ... ), each representing 20 ordinary shares of the Company, ... ADSs and warrants were issued in a fixed combination ...
(Date:11/25/2015)...  Today AVACEN Medical announced the issue of United States patent No. ... ". This patent shields the company,s AVACEN 100 dry heat therapy medical device and specific methods ... Photo - ... ... ...
(Date:11/25/2015)... , Nov. 25, 2015 USP 800 ... drug preparations (e.g. pharmacists, pharmacy technicians, nurses, physicians, ... technicians). The chapter also covers all entities which ... pharmacies, hospitals, other healthcare institutions, patient treatment clinics, ... --> --> What is ...
Breaking Medicine Technology: