Navigation Links
Induced Labor Late in Pregnancy Has Pros, Cons
Date:5/11/2012

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:
*Name:
*Comment:
*Email:
Related Image:
Induced Labor Late in Pregnancy Has Pros, Cons
(Date:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer ... one of the most popular and least understood books in the Holy Scriptures, Revelation. ... descriptions that have baffled scholars for centuries. Many have tossed it off as mere ...
(Date:10/13/2017)... , ... October 13, 2017 , ... “The Journey: From ... every danger possible to save lost souls in the Philippines. “The Journey: From the ... is a dedicated teacher of the Bible. She has taught all ages and currently ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... ... are now treating sleep apnea using cutting-edge Oventus O2Vent technology. As ... serious sleep disorder characterized by frequent cessation in breathing. Oral appliances can offer ...
(Date:10/12/2017)... ... October 12, 2017 , ... IsoComforter, Inc. ( ... today the introduction of an innovative new design of the shoulder pad. The ... get maximum comfort while controlling your pain while using cold therapy. By utilizing ice ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... ... drug delivery system that we intend to develop to enable prevention of a ... lead to severe hearing loss, especially in pediatric patients. For cisplatin, hearing loss ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... , Oct. 2, 2017 Halo Labs announces the European ... system called the HORIZON at MIBio 2017 in Cambridge, ... and visible particulate matter in biopharmaceutical samples with unprecedented speed and ... the novel technique Backgrounded Membrane Imaging. ... The HORIZON subvisible particle analysis system ...
(Date:9/28/2017)... Cohen Veterans Bioscience and Early Signal Foundation ... and home sensors for real-time monitoring of patients with ... nonprofit organization focused on disruptive health solutions for rare ... system to record and integrate behavioral, cognitive, physiological and ... ...
(Date:9/25/2017)... Sept. 25, 2017   Montrium , an ... solutions, today—from the IQPC Trial Master Files & ... NL)—announced that EastHORN Clinical Services has selected ... and TMF management. EastHORN, a leading European contract ... to increase transparency to enable greater collaboration with ...
Breaking Medicine Technology: