Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 May 1;32(2):72-82.
doi: 10.1891/JPE-2022-0030.

Research Update: Healthy Birth Practice #1-Let Labor Begin on Its Own

Research Update: Healthy Birth Practice #1-Let Labor Begin on Its Own

Debby Amis. J Perinat Educ. .

Abstract

This article is an adaptation for print of Debby Amis's presentation at the 2022 Lamaze Virtual Conference. She discusses worldwide recommendations as to the optimal time for routine labor induction for low-risk pregnant persons, the recent research about the optimal time for routine labor induction, and recommendations to help the pregnant family make an informed decision about routine induction. This article includes an important new study not included in the Lamaze Virtual Conference that found an increase in perinatal deaths for low-risk pregnancies that were induced at 39 weeks as compared to low-risk pregnancies not induced at 39 weeks but were delivered no later than 42 weeks.

Keywords: childbirth education; decision making; evidence-based practice; interventions/complications.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.. Amis, D. (2022). Low-risk cesarean rates in the United States.
Sources: Gronman, W.A., et al., (2018) and annual CDC National Vital Statistics Reports, 2014–2022.
Figure 2.
Figure 2.. Amis, D. (2022). Results of the INDEX study.
Source: Keulen, et al. (2019). *MII = medically indicated inductions.
Figure 3.
Figure 3.. Amis, D. (2022). Results of the SWEPIS study.
Source: Wennerholm, et al. (2019). *MII = medically indicated inductions.

References

    1. Abenhaim, H. A., Czuzoj-Shulman, N., Benjamin, A., & Spence, A. R. (2022). Labor induction at 39 weeks in low-risk term pregnancies and risk of perinatal death. American Journal of Obstetrics and Gynecology, 226(1), S314. 10.1016/j.ajog.2021.11.527 - DOI
    1. ACNM. (2016). ACNM position statement – induction of labor. https://www.midwife.org/acnm/files/ACNMLibraryData/UPLOADFILENAME/000000...
    1. ACNM. (2018). Press release: CNM recommends no change in practice in response to study on induction of labor. http://www.midwife.org/induced-labor-study-statement
    1. ACOG. (2014, reaffirmed 2019). Practice bulletin no. 146: management of late-term and postterm pregnancies. Obstetrics and Gynecology, 124(2 Pt 1), 390–396. 10.1097/01.AOG.0000452744.06088.48 - DOI - PubMed
    1. ACOG. (2018). Practice advisory – clinical guidance for integration of the findings of the ARRIVE trial: Labor induction versus expectant management in low-risk nulliparous women. www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2018/...