Cesarean delivery also increases risks for future pregnancies, including placenta problems, rupture of the uterus, and hysterectomy. 9 Prostaglandins: Chemicals that are made by the body that have many effects, including causing the muscles of the uterus to contract, usually causing cramps. For products jointly developed with other organizations, conflict of interest disclosures by representatives of the other organizations are addressed by those organizations. Background. If there is a clear indication for a late-preterm or early-term delivery for either maternal or newborn benefit, then delivery should occur regardless of the results of lung maturity testing. "There are certain situations where labor induction is contraindicated," says Dr. Ramin. 2017 Labor induction may be recommended if the health of the mother or fetus is at risk. 209: Obstetric Analgesia and Anesthesia (Obstet Gynecol 2019;133:e20825). This is a subtle but significant change, not . Amniotic Fluid: Fluid in the sac that holds the fetus. ACOG Committee Opinion No. If you and your pregnancy are doing well and the amniotic sac has not ruptured, you may be given the option to go home. 409 12th Street SW, Washington, DC 20024-2188, Privacy Statement Babies born at or after 39 weeks have the best chance at healthy outcomes compared with babies born before 39 weeks. Committee Opinion No. PMC The https:// ensures that you are connecting to the It is not a substitute for the advice of a physician. Last reviewed: August 2022. ET), Clinical Considerations and Recommendations, Summary of Recommendations and Conclusions, Alliance for Innovation on Women's Health, Postpartum Contraceptive Access Initiative, Easy, advanced search function to find the most relevant guidance. Diagnosis and Management of Gestational Diabetes Mellitus: An Overview of National and International Guidelines. | Terms and Conditions of Use. Tsakiridis I, Giouleka S, Mamopoulos A, Kourtis A, Athanasiadis A, Filopoulou D, Dagklis T. Obstet Gynecol Surv. Not uncommonly, a patient may have multiple indications for possible late-preterm or early-term delivery. , Search for doctors near you. Too many contractions may lead to changes in the fetal heart rate. 816: Consumer Testing for Disease Risk (Obstet Gynecol 2021;137:e16). Oxytocin is given through an intravenous (IV) line in the arm. Varner MW The American College of Obstetricians and Gynecologists has neither solicited nor accepted any commercial involvement in the development of the content of this published product. Neither ACOG nor its officers, directors, members, employees, or agents will be liable for any loss, damage, or claim with respect to any liabilities, including direct, special, indirect, or consequential damages, incurred in connection with this publication or reliance on the information presented. There are several important principles to consider in the timing of delivery. Sometimes when labor is going to be induced, the cervix is not yet "ripe" or soft. Your hospital may offer induction at 39 weeks if it has the staff and resources to do so. Labor is induced to stimulate contractions of the uterus in an effort to have a vaginal birth. . official website and that any information you provide is encrypted

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