Elective induction of labour in low risk nulliparous women at term: Caution is needed

Tullio Ghi; Andrea Dall'Asta; Stefania Fieni

doi:10.1016/j.ejogrb.2019.05.037

Elective induction of labour in low risk nulliparous women at term: Caution is needed

Eur J Obstet Gynecol Reprod Biol. 2019 Aug:239:64-66. doi: 10.1016/j.ejogrb.2019.05.037. Epub 2019 Jun 5.

Authors

Tullio Ghi¹, Andrea Dall'Asta², Stefania Fieni²

Affiliations

¹ Department of Medicine and Surgery, Unit of Surgical Sciences, Obstetrics and Gynecology, University of Parma, Parma, Italy. Electronic address: [email protected].
² Department of Medicine and Surgery, Unit of Surgical Sciences, Obstetrics and Gynecology, University of Parma, Parma, Italy.

PMID: 31195165
DOI: 10.1016/j.ejogrb.2019.05.037

Abstract

The recently published ARRIVE trial demonstrated that "policies aimed at the avoidance of elective labour induction among low-risk nulliparous women at 39 weeks of gestation are unlikely to reduce the rate of caesarean delivery on a population level". In this commentary we discuss some controversial aspects of the study that in our opinion may undermine its validity at wide population level.

Keywords: Hypertension in pregnancy; Low risk pregnancy; Obesity in pregnancy; Risk assessment in pregnancy; Term pregnancy.

Publication types

Comment

MeSH terms

Cesarean Section
Female
Humans
Labor, Induced
Labor, Obstetric*
Obesity
Pregnancy
Pregnancy Outcome*