. Conversely, if delivery could be delayed safely in the context of an immature lung profile result, then no clear indication for a late-preterm or early-term delivery exists. Change in timing of induction protocol in nulliparous women to optimise timing of birth: results from a single centre study. (III-B) 02 . National Library of Medicine Accessibility First, if there is a clear indication for a late-preterm or early-term delivery for either maternal or newborn benefit, then delivery should occur regardless of the results of lung maturity testing. to address and adjudicate competing delivery indications. Delivery timing in these circumstances should be individualized and based on the current clinical situation. N Engl J Med
Amniotomy: Artificial rupture (bursting) of the amniotic sac. It does not explain all of the proper treatments or methods of care. Spong CY
. Careers. Any updates to this document can be found on
The following ACOG documents have been reaffirmed: ACOG Committee Opinion No. Some of these conditions include the following: Placenta previa (the placenta covers the opening of the uterus), The fetus is lying sideways in the uterus or is in a breech presentation, Prolapsed umbilical cord (the cord has dropped down in the vagina ahead of the fetus), Some types of previous uterine surgery, such as certain types of cesarean birth or surgery to remove fibroids. The https:// ensures that you are connecting to the Read common questions on the coronavirus and ACOGs evidence-based answers. Induction of labour is not recommended in women with an uncomplicated pregnancy at gestational age less than 41 weeks. Bulk pricing was not found for item. A health care provider might recommend inducing labor for various reasons, primarily when there's concern for the mother's or baby's health. Ripening the cervix is a procedure that helps the cervix soften and thin out so that it will dilate (open) during labor. 541: Professional Relationships With Industry (Obstet Gynecol 2012;120:12439), ACOG Committee Opinion No. The reason for this longstanding principle is that the neonatal risks of late-preterm (34 0/736 6/7 weeks of gestation) and early-term (37 0/738 6/7 weeks of gestation) births are well established, and the potential neonatal complications associated with elective delivery at less than 39 0/7 weeks of gestation are well described 1 2. Bulk pricing was not found for item. The https:// ensures that you are connecting to the 1.2.21 Induction of labour is not generally recommended if a woman's baby is in the breech position. . WHO recommendations for induction of labour - World Health Organization 765. Induction of labour is recommended for women who are known with certainty to have reached 41 weeks (>40 weeks + 7 days) of gestation. According to NHS Maternity Statistics [3] the proportion of labours in England that are induced has increased from 21% in the year to March 2010 to 34% in the year to March 2021.