Expert Commentary

ARRIVE: What are the perinatal and maternal consequences of labor induction at 39 weeks compared with expectant management?

OBG Manag. 2018 September;30(9)
By
John T. Repke, MD
Author and Disclosure Information

WHAT DOES THIS MEAN FOR PRACTICE?

  • Induction of labor at 39 weeks in low-risk nulliparas, irrespective of Bishop score, seems to be a reasonable option to be included in route of delivery discussions with patients as part of the principle of shared decision-making.
  • The data in this trial would suggest that such an approach not only reduces adverse perinatal outcomes but also may reduce the need for subsequent cesarean delivery.


 

Citation: Grobman WA, Rice MM, Reddy UM, et al; for the Eunice Kennedy Schriver National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network. Labor induction versus expectant management in low-risk nulliparous women. N Engl J Med. 2018;379(6):513–523. doi:10.1056/NEJMoa1800566.

Next Article:

Baloxavir, oseltamivir similar for influenza