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The American Congress of Obstetricians and Gynecologists has recommended against elective induction before 39 weeks if there is no medical indication and the cervix is unfavorable. [14] One recent study indicates that labor induction at term (41 weeks) or post-term reduces the rate of caesarean section by 12%, and also reduces fetal death. [15]
[2] [3] [13] For a healthy pregnancy, medical induction of labor or cesarean section are not recommended before 39 weeks unless required for other medical reasons. [2] There may be certain medical reasons for early delivery such as preeclampsia. [14] Preterm birth may be prevented in those at risk if the hormone progesterone is taken during ...
Researchers randomly assigned 1,801 healthy women who were 41 weeks pregnant either to have labor induced or to receive so-called expectant management, with an induction if needed by 42 weeks.
A 2019 randomized control trial of induced labor at 42 or 43 weeks was terminated early due to statistical evidence of "significantly increased risk for women induced at the start of week 43". The study implies clinical guidelines for induction of labor no later than at 41 gestational weeks. [22]
Induced births and elective cesarean before 39 weeks can be harmful to the neonate as well as harmful or without benefit to the mother. Therefore, many guidelines recommend against non-medically required induced births and elective cesarean before 39 weeks. [121]
Planned birth before 39 weeks by caesarean section or labor induction, although "at term", results in an increased risk of complications. [65] This is from factors including underdeveloped lungs of newborns , infection due to underdeveloped immune system, feeding problems due to underdeveloped brain, and jaundice from underdeveloped liver.
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A spontaneous vaginal delivery (SVD) occurs when a pregnant woman goes into labor without the use of drugs or techniques to induce labor and delivers their baby without forceps, vacuum extraction, or a cesarean section. [1] An induced vaginal delivery is a delivery involving labor induction, where drugs or manual techniques are used to initiate ...