The convenience of inductions is questioned

I have always been convinced that inductions are carried out too commonly and that there were no justifications for most of them nor were their benefits clear in many of the cases in which they are performed. A very large and recent study points out the same: the convenience of inductions is questioned.

A labor induction It is not an act without danger. When a labor is induced, there are many more possibilities that there will be no adequate progression, with the rates of caesarean sections, forceps, suckers and major episotomies. The use of synthetic oxytocin makes contractions more painful and causes epidural anesthesia to be used almost always. The woman is left without mobility by taking medications venously and using the baby's internal monitoring. The risk of infection is greater because of the touches and the rupture of the bag artificially. Inducing a birth is a very serious medical decision and should be made when necessary.

A study recently published in the BJOG, the medical journal of the Royal College of Obstetricians and Gynaecologists, points out that the best available scientific evidence does not support many of the medical reasons that professionals give for giving birth.

The researchers only found evidence to support the labor induction upon reaching 41 weeks of gestation or after (41 full weeks, that is, 40 + 7 or more), and that only under certain conditions (breaking waters without spontaneously starting labor).

However, there is no evidence to justify induction in many other situations, for example if the baby is supposed to be very large or if it could have a delay in intrauterine growth, a twin pregnancy, insulin-dependent diabetes, or low fluid levels. amniotic.

“The best available evidence does not support routine inductions in many of the situations in which an induction is recommended to patients. More research is needed to clarify the risks and benefits of induction in these situations. ”

That is to say, there is no evidence to indicate most of the inductions necessary or that they will produce a benefit greater than the risk they produce. And that, in the case of our bodies and the lives of our children is something very serious. Today I am clear, I would not accept an induction for these reasons and would only do so when the doctor explained to me very clearly the need to perform it.

Via | Interscience In Babies and more | Artificial rupture of the bag does not imply a faster delivery

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