This question is for seasoned L&D nurses, CNMs, and OBs: Are you supportive of inducing labor in your patients? Why/why not?
After a year of working L&D, I'm stunned by how many of my patients are induced for one slightly elevated blood pressure, or for another reason that seems less than reasonable/urgent. I've seen many of these patients -- and their babies -- have poor outcomes and complications, including fetal distress, hemorrhage, unwanted c-section, and vacuum assisted delivery, among others. I have to wonder if it's (at least partly) a result of the induction, especially when they're a mere 36 or 37 weeks, or if the induction before baby and mom are ready to deliver contributes to these outcomes. While I *strongly* believe that medicine has a place in labor and birth when warranted, I question whether it's an interference in many of my patients whose bodies and babies are simply not yet ready for delivery.
Experienced practitioners, what do you think?