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Labor induction, with or without medical indications, is on the rise and has been associated with excess risk for cesarean delivery (JW Womens Health Feb 4 2010). Amid concerns about skyrocketing cesarean rates, calls to eliminate elective induction have been put forth. In a large retrospective study, researchers in Scotland sought to determine maternal and perinatal outcomes associated with elective labor induction. Among a cohort of 1.3 million women who delivered at term (37–41 weeks' gestation) in Scottish maternity hospitals between 1981 and 2007, 26% underwent induced labor. Of these, more than half had no listed medical indication and were classified as elective.
Compared with expectant management, elective induction was associated wi…