Inducing Labor Might Not Increase Chance of C-Section

 

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Study says inducing labor at 39 weeks doesn’t increase need for C-section

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British researchers found that when older first-time moms had their labor induced during the 39th week of pregnancy, they were at no greater risk of a C-section British researchers found that when older first-time moms had their labor induced during the 39th week of pregnancy, they were at no greater risk of a C-section or. While doctors and health officials battle rising cesarean section rates, a fresh look at past research suggests that induction of labor may not be contributing to the problem.

British researchers found that when older first-time moms had their labor induced during the 39th week of pregnancy, they were at no greater risk of a C-section or any other negative effects for themselves or their newborns. “Our analysis suggests that elective induction at 39 weeks is associated with a lower rate of cesarean delivery and does not increase the risk of major complications for newborns.” Although cesarean delivery is safe for mother and baby, it is major surgery and does carry risks. It takes longer to recover from a C-section, compared to vaginal birth, and the surgery may increase the risk of problems. The results of a clinical trial titled “A Randomized Trial of Induction Versus Expectant Management (ARRIVE)”, the study suggests choosing to induce labor does not increase the likelihood of a C-section for healthy moms with low-risk pregnancies, but lowers the frequency of cesarean delivery by about 3% in healthy, low-risk moms at 39 weeks, something that surprised researchers. Pregnant older women who have labor induced near their due date may not face an increased risk of needing a cesarean section, a new clinical trial suggests.

WEDNESDAY, Aug. 8, 2018 (HealthDay News) Contrary to what doctors have thought, women who opt to have their labor induced in the 39th week of pregnancy do not face a. It has been thought that inducing labor in a woman whose pregnancy has lasted too long, but whose water hasn’t broken, could result in the need for a C-section. But in a review of 37 studies on.

An emergency C-section is needed to prevent life-threatening complications. Your uterus might need to be removed. Bleeding after delivery.

Labor induction increases the risk that your uterine muscles won’t properly contract after you give birth (uterine atony), which can lead to serious bleeding after delivery. Inducing labor is a serious decision.

List of related literature:

All of these risk factors can increase the likelihood that labor will be induced (Picklesimer & Dorman, 2013).

“Maternal Child Nursing Care E-Book” by Shannon E. Perry, Marilyn J. Hockenberry, Kathryn Rhodes Alden, Deitra Leonard Lowdermilk, Mary Catherine Cashion, David Wilson
from Maternal Child Nursing Care E-Book
by Shannon E. Perry, Marilyn J. Hockenberry, et. al.
Elsevier Health Sciences, 2017

In severe placenta abruptio, labor will almost always be induced immediately (or a cesarean section performed), regardless of the fetus’s state of development.

“The New Harvard Guide to Women's Health” by Karen J. Carlson, Stephanie A. Eisenstat, Stephanie A. Eisenstat, M.D., Terra Diane Ziporyn, Alvin & Nancy Baird Library Fund, Harvard University. Press
from The New Harvard Guide to Women’s Health
by Karen J. Carlson, Stephanie A. Eisenstat, et. al.
Harvard University Press, 2004

Although spontaneous labor is preferred to prevent the increased risk of cesarean section associated with preterm induction of labor if the cervix is unfavorable, it will often be necessary to deliver the woman by cesarean section to avoid the stress of a prolonged and potentially failed induction.

“High Risk Pregnancy E-Book: Management Options Expert Consult” by David K. James, Philip J. Steer, Carl P. Weiner, Bernard Gonik
from High Risk Pregnancy E-Book: Management Options Expert Consult
by David K. James, Philip J. Steer, et. al.
Elsevier Health Sciences, 2010

Whether induction is elective or indicated, adequate stimulation of uterine contractions is important in reducing the incidence of failed induction of labor.

“Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice E-Book” by Robert Resnik, Charles J. Lockwood, Thomas Moore, Michael F Greene, Joshua Copel, Robert M Silver
from Creasy and Resnik’s Maternal-Fetal Medicine: Principles and Practice E-Book
by Robert Resnik, Charles J. Lockwood, et. al.
Elsevier Health Sciences, 2018

The same holds true for premature deliveries, premature placental separation, cesarean sections, or induced parturitions.

“Equine Breeding Management and Artificial Insemination” by Juan C. Samper
from Equine Breeding Management and Artificial Insemination
by Juan C. Samper
Elsevier Health Sciences, 2008

Finally, interventions such as inductions and cesarean sections can also lead to preterm births.61

“Public/Community Health and Nursing Practice: Caring for Populations” by Christine L Savage
from Public/Community Health and Nursing Practice: Caring for Populations
by Christine L Savage
F.A. Davis Company, 2019

(B) Induction of early labor to allow earlier surgery.

“Dr. Pestana's Surgery Notes: Top 180 Vignettes for the Surgical Wards” by Carlos Pestana
from Dr. Pestana’s Surgery Notes: Top 180 Vignettes for the Surgical Wards
by Carlos Pestana
Kaplan Publishing, 2015

◆ The three major potential complications of elective induction of labor are increased neonatal morbidity, increased cost, and increased cesarean delivery resulting from failed induction.

“Obstetrics: Normal and Problem Pregnancies E-Book” by Steven G. Gabbe, Jennifer R. Niebyl, Henry L Galan, Eric R. M. Jauniaux, Mark B Landon, Joe Leigh Simpson, Deborah A Driscoll
from Obstetrics: Normal and Problem Pregnancies E-Book
by Steven G. Gabbe, Jennifer R. Niebyl, et. al.
Elsevier Health Sciences, 2016

Induction of labor is indicated if continuing the pregnancy could be dangerous for either the woman or the fetus, and if no contraindications exist to artificial rupture of the membranes (amniotomy) or augmenting uterine contractions with oxytocin.

“Maternity and Women's Health Care E-Book” by Deitra Leonard Lowdermilk, Shannon E. Perry, Mary Catherine Cashion, Kathryn Rhodes Alden
from Maternity and Women’s Health Care E-Book
by Deitra Leonard Lowdermilk, Shannon E. Perry, et. al.
Elsevier Health Sciences, 2014

Spontaneous labor is generally shorter with less risk of cesarean birth; however, favorable cervix or preinduction cervical ripening can minimize the risk of cesarean birth associated with electively induced labor for nulliparous women (Clark, Miller, et al., 2009; Vahratian et al., 2005).

“AWHONN's Perinatal Nursing” by Kathleen R. Simpson
from AWHONN’s Perinatal Nursing
by Kathleen R. Simpson
Wolters Kluwer Health, 2013

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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30 comments

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  • i disagree mine was great and im booked for my second one tomorrow…. and this one will be fine too…. i hated every second of the pain in labour and c section was the smartest way to go to avoid any kind of complications for me or baby

    these days c sections are as common as giving birth and can be electively booked

  • I was told that my pelvis was too small and had to have a c-section. I wish I would have seen this sooner! Praying that baby #2 will be vbac!

  • I had two c-sections. One in 2012, the other in 2014. I’m due in November of this year and really hoping for a vaginal delivery ��������. I don’t want to have to deal with the recovery from a c-section again

  • I’ve had two csections it will be three years the 23rd since my last c section hoping to have a successful VBAC in November with my little boy but I’m also terrified something bad is going to happen ��

  • I had a VBAC on 01/21. My doctor had initially scheduled me for a csection on 01/24 in the case that I didn’t go into labor on my own. He did not want to Induce me due to possible uterine rupture because the medicine used to induce was “very strong”. I thought that was off since my prior csection was 11 years ago.
    But thankfully I went into labor on my own and having a positive mind and very supportive nurses, helped me deliver naturally in only 9hrs.

  • Hey Bridget: i had my 1st baby by c-section. I had to go through 15hrs labor, even after having proper dilation as i wasnt feeling the urge to push the baby i was put into c-section
    Is there any chance for me to try for VBAC? I am 30. 5ft 2inch tall and right now weighing 72kg

  • Mam I got my first baby through c-section due to nuchal cord surrounded the baby on neck and stomach so my doctor done operation but now my baby is 3 1/2years old and im conceived for my second baby and now im 21 weeks 3days pregnant…Can i get my second baby on vbac??..

  • During this COVID-19 pandemic, I’m on Arkansas, and everyone is pushing back against VBAC. I’m trusting my body I’ll be close enough to the hospital that I could labor at home and deliver in the parking lot��. I’m not trusting the hospital, they lied 6 years ago when I tried to have a VBAC. I was rushed from my room into an elective c section.

  • I had a c-section 6 years ago with my second child because with my 1st I almost had a 4th degree tear. It was highly suggested I have my second c-section. I don’t know why I want to have my next natural. I’m just not sure if it’s for me. Either way I get a baby though ��

  • I’m a perfect candidate for a VBAC when I have my baby this September!
    I can’t wait to experience a natural birth this time around!
    ��✌️��

  • I had 3 c sections. 1 was due to baby did not move down and i was told my pelvis was to small to give birth. 2 stillbirth. 3rd was doc was worried that i would have a stillborn again. Now i want to know im 34 and my dream is too give normal birth. Would I be able too after 3 c sections?

  • I am super emotional rightnoww.. The first bit of information you gave up until 4:00 i think. That basically stated that i’m in the ‘good start zone’, made me cry so much! I am currently 12 weeks 3 days and reading allot of information of what is to come. Videos like these really help me with all the orientation i’m doing! Anything positive can make me cry at this point ����.

  • I had an induced vaginal birth with my first. Ended up with an episiotomy + 3rd degree tear after 5 hours of pushing. It was pretty awful. My son was the only good memory I have of it (but I was so exhausted and shell shocked I didn’t really bond with him till the next day). My second was a 32w CS that was almost 3 years ago. I’m now 36w5d with #3 and just scheduled a repeat CS bc this baby girl is still breech like her sister was (and not enough amniotic fluid to have an ECV). That’s ok bc I kind of wanted a repeat CS bc I found the experience (other than the prematurity) and recovery a lot less traumatic and taxing compared to my vaginal. I also just want a planned fullterm csection where I get to hold my baby afterwards and still have that typical newborn experience. I might have another baby but probably not since my husband insists he’s getting snipped.

    Other than being breech at almost 37w, I was a perfect candidate on paper for a vbac considering I had a prior vaginal birth.

  • I had a successful VBAC after two c-sections on March 12th of this year. The recovery was so much easier. And I’m glad I got to have the positive birth experience that I have dreamed of.

  • I had 2 cesaaren and now 5 year letter i am again pregnant 6month start my heart desire normal delivery plz guide me for vbac i m from pakistan

  • I have gestational diabetes! They just found out 2 weeks ago, I have now 16 days left till my due date and I really want a vbac! What do I do? Is it safe for me?

  • Hello… I am 30 weeks pregnant with my 2nd baby. My 1st pregnancy was C-section and reason was that i was unable to the bear pain, so i opt C-section. Now i am again pregnant after 18months of 1st pregnancy. Now i want epidural VBAC Delivery this time. Please tell me is it safe for me?????

  • I had my first c-section 5 yrs back.. now am due in september 2020 and gonna try a vbac. Till now all good and low risk according to my gynec. Even my first pregnancy was low risk and just the selection of hospital went wrong. I still feel guilty for having a completely unnecessary c-section.

  • I have a side by side incision, but like you said it may be different on the uterus! Where can I find more information on my cesarean? Is it something I can call and ask my previous gynecologist about? Or is it only between doctors who can have this information?

  • I had c section after 2nd stage labour. The doc told baby got stuck i pelvic bone as the reason for operation. Can normal delivery be possible for me?

  • You are an incredible labor coach! I find your videos super interesting, even though I’m not pregnant I think it’s important to be prepared ��

  • I am ur new subscriber. I am also planning for vbac. As per this video, we are supposed to have atleast 18 months time gap between delivery but mine will br only 17 months. Ultrasound report says my placenta is fundal anterior. I want to know that, May I still hope for vbac. My previous c section was due to baby in breech position.

  • I thank Allaah first, the Lord and Creator.

    After Him, I thank you. Your tips and advice helped me have a spontaneous and unmedicated Vba2c.

    I wish you success in your endeavors. May God guide you to everything good.

  • I’m 40 weeks today and my OB scheduled me for repeat C Section 2 days from now. I assumed I would have this baby by now as I’ve had irregular contractions for the last month at least but now it seems that is not enough time to go into labor on my own. My first CS was due to breech presentation and anterior placenta. I’m 35 in good health. Baby is head down and all checkups have been good. My daughter is 18 months old now. I’m really thinking I’m going to call and postpone my csection to give my body a chance to go into labor on it’s own. Any additional advice?

  • Hi, we have not met but I am so greatfull that I found your channel during this pregnancy, your educational videos along with meditations were my guide in achieving my successful VBAC this Saturday 6/27/20 to a beautiful baby girl. Thank you!!! ❤️

  • I am 31 weeks due April 28th and I am hoping to get my VBAC �� I have been doing so much research and this time I have a midwife and it has been an amazing prenatal experience sofar. My hospital just opened up a birth center that I am not eligible for because it will be my first attempt at a VBAC and Incase the chance of rupture I need to be within the hospital.. it’s a little disappointing but as long as I get my VBAC I don’t care where I deliver ��

  • Please please pleeeeeease do a video on how to become a doula! And where, how much, the places of where you’ll be a successful doula. Basically the whole spiel of becoming and what you need to know of becoming a doula. It’s so limited on that on here and I just loved you videos when I was pregnant last year. Itll be much appreciated ❤❤❤

  • I had a repeat section just under a week ago. I was very upset because my body did all it needed to do on it’s own. I dilated all on my own, my water broke on it’s own and I successfully made it to 8cm dilated without any pain medication. I then got an epidural because I couldn’t take the pain (I was stuck at 8cm for over an hour and a half). Nonetheless, even after an epidural, my body continued to fully 10cm dilated. I began to push after hours of waiting for the urge that never came. I pushed for almost 3 hours. My doctor could see the head but the head would never get past a certain point. I was pushing with all that I had in me. And my doctor said my babies skull bones were just pushing again my pubic bone. My pubic bone wasn’t allowing her through. This was the same issue I had with my first daughter. After this second time, I felt like next time I should just schedule a c section because clearly my body can’t do this. But am I wrong? Can my body still do this? Can I some how make my pubic bone wider or open up? I’m so frustrated. I’m thankful for two healthy girls but I can’t tell you how much I was looking forward to a vbac and how badly I wanted my recovery to be easier.

  • Currently 38 weeks. Planned induction for TOLAC at 39 weeks because of size worries. (First baby got stuck in my pelvic structure because she was sunny side up and couldnt drop any farther) Im nervous but also determined. Im hoping I may go naturally before the induction date but we will see.

  • My doctor didn’t even give me the option just said, “well your hips wouldn’t let him come down so we are just going to schedule another C-section” I got to 7 cm with my first. I feel like I am a good candidate. Im only 22. And healthy:/. Not sure if I should get a new provider. Its just im 23 weeks along and with Covid 19 and so many uncertainties im not sure what to do:(

    Edit: You literally answered all my questions ��