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Discussion

39 IOL

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?

just curious if this is still the norm.....

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    No

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    9 hours ago, AZBlueBell said:

    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).

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