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FRIDAY, NOVEMBER 27, 2009
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5

Doctors Urged to Induce Labor Less Often

New guidelines warn of risky 'epidemic' in US hospitals

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(Newser) – New guidelines out today urge US doctors not to induce labor earlier than 39 weeks into a pregnancy unless there are compelling medical reasons, the Houston Chronicle reports. The American College of Obstetricians and Gynecologists issued its first statement on induced labor since 1999, with the lead author calling it an “epidemic.” Inductions have more than doubled since 1990, to 225 instances per 1,000 births in 2006.

But the guidelines are non-binding, and some doctors say they don’t address the reasons that the procedure has become so common—requests by patients who are tired of pregnancy or want to make sure the labor process fits neatly into allotted time off from work. “People keep pushing to induce earlier and earlier,” says one Houston OB-GYN. Many “want to get the baby out before something goes wrong.”

New guidelines from the American College of Obstetricians and Gynecologists urge doctors not to induce labor early unless there are compelling medical reasons to do so.
New guidelines from the American College of Obstetricians and Gynecologists urge doctors not to induce labor early unless there are compelling medical reasons to do so.   (Shutterstock)
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The new guidelines stress the issue a little more clearly than previously, but doctors still feel a lot of pressure from patients for it.
- Dr. Damla Dryden, OB-GYN Women's Specialists of Houston at Texas Children's Hospital

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5 comments
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Toon
Jul 21, 09 4:13 PM CDT
When my water broke early with no sign of labor the doctor said if I didn't go into labor then they would induce me in seven days because it was not advisable to wait any longer. On day 5 I was told they would wait til day 8 because they were overbooked on day 7. Which meant that they were willing to bump a medical induction in favor of a convenience induction. Reply
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Fondue
Jul 21, 09 5:54 PM CDT
"requests by patients who....want to make sure the labor process fits neatly into allotted time off from work." In other countries both parents get maternal leave up to a year. Reply
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Reader22060479
Jul 21, 09 6:35 PM CDT
One year leave is not enough. I suckled all four of my children until they were 2 1/2 yrs. The government needs to pay us to do this job properly. Men are such swine, they just think we can drop the kid and go back to cooking. Well not this woman.
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PosterNutbag
Jul 21, 09 9:18 PM CDT
What about the exponential rise in C-sections? "The Business of Being Born" is an excellent documentary about modern birth procedures. Reply
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riffran
Jul 22, 09 4:42 AM CDT
Ob is a scary area to work in as it is. They don't need to add any more possible risk by messing with the process for the sake of conveinence by the docs or the patient. It should be kept as "normal" as possible. Reply
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+1
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