If you induce at 41 weeks, the proper comparator is expectant management at 41 weeks or even maybe induction at an earlier gestation, but
not spontaneous labor at an earlier gestation because demonstrably that did not happen.
Not exact matches
But you can
not tweak the
spontaneous labor contractions at home.
A
spontaneous labor will
not be investigated.»
Find out whether or
not I waited for
spontaneous labor and how big the baby really was on The Million Moms Challenge page...
Women scheduled for
labor induction report more coital activity when advised to have sex to promote
labor, but the
spontaneous labor rate does
not increase.
«You were
not trained to attend normal, natural, low risk,
spontaneous births... -LSB-...]... You were
not taught to give
laboring women massage, to walk the halls with them, to whisper positive, empowering affirmations in their ears, to help them change position, to catch a baby with mom in a squat or on all 4's!»
A large multicenter study of women attempting TOLAC (
n = 33,699) also showed that augmentation or induction of
labor was associated with an increased risk of uterine rupture when compared with
spontaneous labor (1.4 % for induction with prostaglandins with or without oxytocin, 1.1 % for oxytocin alone, 0.9 % for augmented
labor, and 0.4 % for
spontaneous labor).
Additionally, women who await
spontaneous labor after 40 weeks of
labor are less likely to find success, but their risk of rupture has
not demonstrated to be higher (ACOG, 2004).
We just don't have data here to quantify the maternal risks of uterine rupture or other maternal morbidities when women with three or more prior cesareans desire
spontaneous labor.