Overuse of Inductions

There is a general misconception amongst women and especially caregivers that induction of labor is convenient and cost-effective. Knowledge about the risks and benefits is key to reducing the steadily rising rate of induction and the cascade effect of interventions associated with induction.  Risks associated with induction are the following: a chance of having a cesarean is twice as high, prolapsed cord, infection, uterine rupture and prematurity.  A common reason for induction is a “large” baby, however, the American College of Obstetrics and Gynecology (ACOG) states induction for macrosomia  (babies weighing over 8#14 oz) actually increases, rather than decreases the risk for cesarean.  When an intervention is suggested in order to make an informed decision ask your provider; what is the medical reason, weigh the risks verses benefits and inquire about alternatives.

MEDICAL REASONS FOR AN INDUCTION

• Placental Abruption

• Chorioamnionitis

• Postterm pregnancy [defined by ACOG as > 42 weeks]

• Gestational hypertension

• Preeclampsia, eclampsia

• Premature rupture of membranes (if certain conditions exist)

• Maternal medical conditions

• Fetal compromise

• Fetal demise