2019 221(1):B2-B4.ĪCOG Committee on Obstetric Practice. Society of Maternal-Fetal (SMFM) Publications Committee SMFM statement on elective induction of labor in low-risk nulliparous women at term: the ARRIVE trial. Grobman WA, Rice MM, Reddy UM, et al Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network Labor induction versus expectant management in low-risk nulliparous women. 146: management of late-term and post-term pregnancies. 765: avoidance of nonmedically indicated early-term deliveries and associated neonatal morbidities. Tita ATN, Landon MB, Spong CY, et al Eunice Kennedy Shriver NICHD Maternal-Fetal Medicine Units Network Timing of elective repeat cesarean delivery at term and neonatal outcomes. 2014 (155):1-8.ĪCOG Committee on Obstetric Practice, Society for Maternal-Fetal Medicine Medically indicated late-preterm and early-term deliveries: ACOG committee opinion, number 831. Recent declines in induction of labor by gestational age. Martin JA, Hamilton BE, Osterman MJK, et al. Randomized controlled trials and systematic reviewĬonsider combining a balloon catheter and misoprostol for cervical ripening to shorten time to delivery. Lower-quality or inconsistent evidence, with no benefit in one trial of parous women but shorter time to delivery in another trial of only nulliparous womenĬonsider using vaginal misoprostol (Cytotec) for cervical ripening to increase the likelihood of vaginal delivery within 24 hours. 32Ĭonsider outpatient placement of a Foley catheter for cervical ripening in nulliparous patients with an unfavorable cervix (full Bishop score of less than 6). Membrane sweeping in the outpatient setting can increase the likelihood of spontaneous labor within 48 hours. Regular, moderate exercise and breast massage both increase the likelihood of spontaneous labor. Practice guideline prospective and retrospective cohort studies 5, 6Ĭonsistent evidence of improved patient outcomes in a large cohort study practice guidelineĪvoid prostaglandins in patients with prior cesarean delivery or major uterine surgery because of the increased risk of uterine rupture. Avoid induction of labor before 39 weeks' gestation if there is no medical indication.
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