Sunday, March 24, 2013

Just say "No"


ACOG has released an initiative of "Five Things Physicians and Patients Should Question" and guess what?!? The first two warn against non-medical inductions! 
1

Don’t schedule elective, non-medically indicated inductions of labor or Cesarean deliveries before 39 weeks 0 days gestational age.


Delivery prior to 39 weeks 0 days has been shown to be associated with an increased risk of learning disabilities and a potential increase in morbidity and mortality. There are clear medical indications for delivery prior to 39 weeks 0 days based on maternal and/or fetal conditions. A mature fetal lung test, in the absence of appropriate clinical criteria, is not an indication for delivery.
2

Don’t schedule elective, non-medically indicated inductions of labor between 39 weeks 0 days and 41 weeks 0 days unless the cervix is deemed favorable.


Ideally, labor should start on its own initiative whenever possible. Higher Cesarean delivery rates result from inductions of labor when the cervix is unfavorable. Health care practitioners should discuss the risks and benefits with their patients before considering inductions of labor without medical indications.

That is all, thank you! 

1 comment:

  1. There's more! ACOG issued a news release reminding that a suspected large baby is not a medical indication for induction.
    http://www.acog.org/About_ACOG/News_Room/News_Releases/2013/Early_Deliveries_Without_Medical_Indications

    ReplyDelete

Contact info

Jennifer Valencia | Labor & Postpartum Doula | 928.300.1337

Calendar

Blog Directory