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:10/12/2017)... ... 12, 2017 , ... The company has developed a suite ... regulatory authorities worldwide. From Children’s to Adults 50+, every formula has been developed ... , These products are also: Gluten Free, Non-GMO, Vegan, Soy Free, Non-Dairy*, ...
(Date:10/12/2017)... ... October 12, 2017 , ... Asante, a nationally recognized health ... expanded their existing home health joint venture through an agreement, effective October 1, ... joint venture home health company with Asante, delivering clinically integrated care, for the ...
(Date:10/12/2017)... ... ... HMP , a leader in healthcare events and education, today announced that ... for ‘Best B-to-B Healthcare Website.’ Winners were announced during the Eddie & Ozzie Awards ... recognizes editorial and design excellence across a range of sectors. This year’s program included ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... ... been named one of Michigan’s 2017 Best and Brightest in Wellness® by Best ... in Wellness® awards program on Friday, Oct. 20 from 7:30 a.m. to 2 ...
(Date:10/12/2017)... FL (PRWEB) , ... October 12, 2017 , ... ... presenting the latest in wound care advancements to physician colleagues, skilled nursing facility ... is titled, "Navigating the Treacherous Waters of Wound Care." , "At many of ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... -- Eli Lilly and Company (NYSE: LLY ) ... of 2017 on Tuesday, October 24, 2017. Lilly will ... the investment community and media to further detail the ... begin at 9 a.m. Eastern time. Investors, media and ... the conference call through a link that will be ...
(Date:9/28/2017)... WASHINGTON , Sept. 28, 2017 Cohen ... to advance the use of wearable and home sensors ... brain disorders. Early Signal Foundation, a nonprofit organization focused ... populations, will provide an affordable analytical system to record ... ...
(Date:9/23/2017)... 22, 2017 Janssen Biotech, Inc. (Janssen) announced ... from the U.S. Food and Drug Administration (FDA) for ... for the treatment of moderately to severely active rheumatoid ... data are needed to further evaluate the safety of ... RA. "We ...
Breaking Medicine Technology: