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Early Labor Induction May Reduce Cesarean Rates – AJOG MFM
Apr 10, 2026, 12:40

Early Labor Induction May Reduce Cesarean Rates – AJOG MFM

American Journal of Obstetrics and Gynecology MFM – AJOG MFM shared a post on LinkedIn about a paper by Ilaria Paladino et al. published in AJOG MFM:

“Hot off the press from AJOG MFM!

Can early induction make a difference for pregnancies with suspected large-for-gestational-age (LGA) or macrosomic babies? This new meta-analysis of 5 RCTs (n=4,083) says yes!

Key findings:

  • Inducing labor at 38 weeks cut cesarean deliveries by 13%
  • Fewer cases of macrosomia (≥4000g and ≥4500g)
  • Promising trends: less shoulder dystocia and fewer neonatal fractures
  • No rise in major maternal or neonatal complications

Bottom line: Induction between 38⁰/₇ and 38⁴/₇ weeks is a safe, effective option for LGA pregnancies – about 25 inductions needed to prevent 1 cesarean delivery.

Dive into the full study here.”

Title: Induction at 38 weeks for large-for-gestational-age or macrosomic fetuses decreases the incidence of cesarean delivery: meta-analysis of randomized controlled trials

Authors: Ilaria Paladino, Vincenzo Berghella

AJOG MFM

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AJOG MFM American Journal of Obstetrics and Gynecology MFM cesarean delivery Fertility Fertility News Ilaria Paladino large-for-gestational-age LGA LGA pregnancies Pregnancies RCTs reproductive health Reproductive Medicine Vincenzo Berghella
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