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ACOG Statements 01

ACOG (American Congress of Obstetricians and Gynecologists) Statements about some common procedures:

INDUCTION OF LABOR

Reasons for Medical Induction of Labor:
* Spontaneous rupture of membranes (broken water)
* Hypertension (high blood pressure)
* Health problems such as diabetes
* Chorioamnionitis (bacterial infection)
* Intrauterine growth restriction (baby stops growing)
* Postdates (more than 42 weeks pregnant)
*** NOTE macrosomia (big baby) is NOT an indication for induction of labor***
–ACOG. (2005) Your Pregnancy and Birth

“…women undergoing induction of labor with unfavorable cervices should be counseled about a two-fold increased risk of cesarean delivery.”
–ACOG. (2009) Induction of Labor (Practice Bulletin #107)–

When Labor is induced for logistic or phychosocial indications, the pregnant woman should be at least 39 completed weeks of gestation to avoid the risk of prematurity.
–The Joint Commission (effective April 2010)–

ELECTRONIC FETAL HEART RATE MONITORING

“Despite its widespread use, there is controversy about the efficacy of EFM… Moreover, there is evidence that the use of EFM increases the rate of cesarean deliveries and operative vaginal deliveries.”
–ACOG (July 2009) Practice Bulletin #106–

“Given that the available data do not show a clear benefit for the use of EFM over intermittent auscultation, either option is acceptable in a patient without complications.”
–ACOG. (July 2009) Practice Bulletin #106–

EPIDURAL ANALGESIA

Unintended Effects of Epidural Analgesia
* may increase the risk of cesarean delivery (with early placement)
* prolongs labor by 40 to 90 minutes
–ACOG (July 2002) Practice Bulletin on Obstetric Analgesia and Anesthesia

 

2 Responses to “ACOG Statements”

  1. Amber Says:

    “Big baby” is listed as not a good reason for induction of labor, but what if the mother is at risk? Is induction a preferred method or caesarean section?


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