Can we talk about elective Induction of Labor (IOL) at 39 weeks gestation? Is this still the norm at your facility?
I know ACOG guidelines state that there shouldn't be any elective inductions prior to 39 weeks, but at my current facility there seems to be such a rarity of spontaneous labor.
Everyone chooses induction (chemical birth) at 39 and x number of days gestation...... what happened to people going the "full 40"? And isn't there something to be said about the increased rate in Cesarean sections when elective inductions are the norm?
Is there any crackdown at your facility on OB's who are so eagerly ready to induce their patients once they hit 39 weeks?
How have you not been cited by TJC/CMS? That's one of the CMS quality measures by which they score hospitals and provide funding. I'm shocked that your quality/risk department allows that. Whenever we have a "fallout" as they call it, it goes through several committees to evaluate how/why it happened.
Sorry for the typo, we allow cervical ripening at 39w1d....is that considered against measures?
I’m sorry, that was a typo! Elective IOL allowed at 40 weeks, and cervical ripening allowed at 39w1day (not 38!). To be honest, we only have a cervical ripening probably once or twice every few months. It is not common.
Gotcha! In terms of cervical ripening being rare, do you mean that you only do elective inductions at 40 weeks on women with a Bishop's score of 6 or more, or you just don't bother with cervical ripening and start everyone's induction with Pit? (Just curious what other facilities do).
AZBlueBell
411 Posts
Sorry for the typo, we allow cervical ripening at 39w1d....is that considered against measures?