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
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