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For an example of this earlier flawed research, see this article by Yeast et al. New researchers pointed out that we need to compare people who have elective inductions with the whole group of those who for spontaneous labor—whether or not they actually do have spontaneous labor.
This is a subtle difference, but an important one, because not everyone who chooses to wait for labor will actually have a spontaneous labor; some of them will develop complications that lead to an induction and increase their risk for Cesarean.
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They argued that earlier studies—where elective induction showed a doubling in Cesarean rates—were flawed.Their goal is to find out if having everyone give birth by 39 weeks results in better birth outcomes than letting people wait for spontaneous labor.But since only 10% of people go into labor on their own by 39 weeks (Smith 2001; Jukic et al.Because of this flaw in the earlier studies, the researchers argued, we really can’t determine if elective induction between 39-41 weeks is better or worse than waiting for labor to start on its own (see xpectant Management) are currently reviewing results on 6,000 first-time mothers from across the United States (U. Participants were randomly assigned to elective induction at 39 weeks OR waiting for labor to start on its own (expectant management), up until 41 weeks.The researchers recently reached their recruitment goal of 6,000 people, and hope to have findings to present at the annual Society for Maternal-Fetal Medicine (SMFM) conference in February 2018 (Personal correspondence, Kelly Clark, RN, August 2017).
so we need research in order to learn the pros and cons of elective induction at 39 weeks!