Research Update: Healthy Birth Practice #1—Let Labor Begin on Its Own

Author:

Amis Debby

Abstract

This article is an adaptation for print of Debby Amis’s presentation at the 2022 Lamaze Virtual Conference. She discusses worldwide recommendations as to the optimal time for routine labor induction for low-risk pregnant persons, the recent research about the optimal time for routine labor induction, and recommendations to help the pregnant family make an informed decision about routine induction. This article includes an important new study not included in the Lamaze Virtual Conference that found an increase in perinatal deaths for low-risk pregnancies that were induced at 39 weeks as compared to low-risk pregnancies not induced at 39 weeks but were delivered no later than 42 weeks.

Publisher

Springer Publishing Company

Subject

Maternity and Midwifery,Obstetrics and Gynecology,Pediatrics,Pediatrics, Perinatology and Child Health

Reference37 articles.

1. Labor induction at 39 weeks in low-risk term pregnancies and risk of perinatal death;American Journal of Obstetrics and Gynecology,2022

2. ACNM. (2016). ACNM position statement – induction of labor. https://www.midwife.org/acnm/files/ACNMLibraryData/UPLOADFILENAME/000000000235/Induction-of-Labor-2016.pdf

3. ACNM. (2018). Press release: CNM recommends no change in practice in response to study on induction of labor. http://www.midwife.org/induced-labor-study-statement

4. Practice Bulletin No. 146

5. ACOG. (2018). Practice advisory – clinical guidance for integration of the findings of the ARRIVE trial: Labor induction versus expectant management in low-risk nulliparous women. www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2018/08/clinical-guidance-for-integration-of-the-findings-of-the-arrive-trial

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