Helping nature: Inducing labor avoids cesarean for some moms - WFMJ.com News weather sports for Youngstown-Warren Ohio

Helping nature: Inducing labor avoids cesarean for some moms

Posted: Updated:
(AP Photo/Teresa Crawford). In this Aug. 7, 2018 photo, a doctor performs an ultrasound scan on a pregnant woman at a hospital in Chicago. According to a study released on Wednesday, Aug. 8, 2018, first-time mothers at low risk of complications were le... (AP Photo/Teresa Crawford). In this Aug. 7, 2018 photo, a doctor performs an ultrasound scan on a pregnant woman at a hospital in Chicago. According to a study released on Wednesday, Aug. 8, 2018, first-time mothers at low risk of complications were le...
(AP Photo/Teresa Crawford). This Aug. 7, 2018 photo shows the screen of a fetal monitor at a hospital in Chicago. According to a study released on Wednesday, Aug. 8, 2018, first-time mothers at low risk of complications were less likely to need a cesar... (AP Photo/Teresa Crawford). This Aug. 7, 2018 photo shows the screen of a fetal monitor at a hospital in Chicago. According to a study released on Wednesday, Aug. 8, 2018, first-time mothers at low risk of complications were less likely to need a cesar...
(AP Photo/Teresa Crawford). In this Aug. 7, 2018 photo, Dr. William Grobman stands for a portrait at Prentice Women's Hospital/Northwestern Medicine in Chicago. Having an induced pregnancy doesn't mean moms can't have "natural childbirth" _ they can fo... (AP Photo/Teresa Crawford). In this Aug. 7, 2018 photo, Dr. William Grobman stands for a portrait at Prentice Women's Hospital/Northwestern Medicine in Chicago. Having an induced pregnancy doesn't mean moms can't have "natural childbirth" _ they can fo...
  • NationalMore>>

  • Bodies of missing wife, daughters found in Colorado

    Bodies of missing wife, daughters found in Colorado

    Friday, August 17 2018 1:30 AM EDT2018-08-17 05:30:59 GMT
    Authorities say the husband of a missing family in Colorado has been arrested in connection with the case.More >>
    Authorities say the husband of a missing family in Colorado has been arrested in connection with the case.More >>
  • Record-breaking fire tornado killed California firefighter

    Record-breaking fire tornado killed California firefighter

    Friday, August 17 2018 1:30 AM EDT2018-08-17 05:30:42 GMT
    (AP Photo/John Locher,File). FILE - In this Aug. 11, 2018 file photo Gary Parmely, father of Jeremy Stoke of the Redding Fire Department, visits a memorial for his son, in Redding, Calif. Officials say Stoke the first firefighter to die battling a Nort...(AP Photo/John Locher,File). FILE - In this Aug. 11, 2018 file photo Gary Parmely, father of Jeremy Stoke of the Redding Fire Department, visits a memorial for his son, in Redding, Calif. Officials say Stoke the first firefighter to die battling a Nort...
    Officials say a firefighter who died helping people evacuate a Northern California blaze was killed by a fire tornado that at one point reached a temperature of 2,700 degrees Fahrenheit.More >>
    Officials say a firefighter who died helping people evacuate a Northern California blaze was killed by a fire tornado that at one point reached a temperature of 2,700 degrees Fahrenheit.More >>
  • Queen of Soul also leaves a powerful civil rights legacy

    Queen of Soul also leaves a powerful civil rights legacy

    Friday, August 17 2018 1:29 AM EDT2018-08-17 05:29:55 GMT
    (AP Photo/Jim Wells, File). This March 26, 1972 file photo shows the Rev. Jesse Jackson speaking to reporters at the Operation PUSH Soul Picnic in New York as Tom Todd, vice president of PUSH, from second left, Aretha Franklin and Louis Stokes. Frankli...(AP Photo/Jim Wells, File). This March 26, 1972 file photo shows the Rev. Jesse Jackson speaking to reporters at the Operation PUSH Soul Picnic in New York as Tom Todd, vice president of PUSH, from second left, Aretha Franklin and Louis Stokes. Frankli...
    Queen of Soul gave black Americans "Respect" as a staunch supporter of civil rights.More >>
    Queen of Soul gave black Americans "Respect" as a staunch supporter of civil rights.More >>

By MARILYNN MARCHIONE
AP Chief Medical Writer

Move over, Mother Nature. First-time moms at low risk of complications were less likely to need a cesarean delivery if labor was induced at 39 weeks instead of waiting for it to start on its own, a big study found. Their babies fared better, too.

The results overturn the longtime view that inducing labor raises the risk for a C-section, and prompted two leading OB-GYN doctor groups to say it's now reasonable to offer women like those in the study that option.

But only certain pregnant women qualify, and the study did not track how inducing labor affected breastfeeding or other mom-baby issues later. Some groups such as Lamaze International still advocate letting nature take its course rather than giving medicines to make the womb start contracting.

"Many women don't want all of the medical care that goes with induction" such as an IV and fetal monitoring, said Lisa Kane Low, past president of the American College of Nurse-Midwives and associate dean of the University of Michigan School of Nursing. "It can result in a very different type of experience."

Being induced doesn't mean moms can't have "natural childbirth" - they can forgo pain medicine or use a hospital's homelike birthing center rather than delivering in "an operating room in a sterile suite with a big light over your head," said the study leader, Dr. William Grobman, an OB-GYN specialist at Northwestern University in Chicago.

"Everyone has a different definition of what a natural birth is," said Dr. Cynthia Gyamfi-Bannerman of New York-Presbyterian/Columbia University Medical Center, which participated in the study.

"Some women feel that natural just means delivering vaginally" and more were able to do that when labor was induced, she said.

Results of the federally funded study were published Wednesday by the New England Journal of Medicine.

ABOUT THE STUDY

About 40 percent of U.S. women giving birth are first-time moms, and at least half are low risk - no problems requiring early delivery or a cesarean. Many women ask to be induced now, to let them plan delivery and ensure their doctor is available, but the risks and benefits are unclear.

Previous studies suggesting that inducing labor raises the risk for a C-section were observational and compared different types of women giving birth under different types of circumstances. This was the first very big experiment to time labor induction for 39 weeks - when a pregnancy is considered full term and complication rates are lowest.

More than 6,100 women at 41 hospitals were randomly placed in two groups: one had labor induced at 39 weeks; the other waited for labor to start on its own and were induced only if a problem developed or they hadn't delivered by 42 weeks.

HOW MOMS AND BABIES FARED

Deaths and severe complications were fewer among babies of women who were induced - about 4 percent versus 5 percent in the other group - but the difference was so small it could have occurred by chance alone. Significantly fewer babies in the induced group needed breathing tubes or extra oxygen after birth, and they spent less time in the hospital.

Nineteen percent of induced moms had a cesarean versus 22 percent of the others. Doctors estimate that one C-section would be avoided for every 28 women induced.

Nine percent of induced women developed dangerous high blood pressure at the end of pregnancy versus 14 percent of the others. Study participants who were induced, such as Aleksa Owen, said they had less pain and felt more in control.

"I was pretty open to any kind of birth, whatever works to keep the baby safe and myself safe as well," said Owen, a 34-year-old graduate student from the Chicago suburb of Woodridge, Illinois. Her son was born in October 2016 and "I felt like I had a sense of control throughout the process."

THE COST

It's not clear which option costs more; researchers plan to study that. Induced women spent more time in the labor and delivery unit but went home sooner after birth. Insurers often pay a fixed rate for births, complicating cost comparisons.

The labor and delivery suite is one of the most expensive places in a hospital, said Dr. Nanette Santoro, OB-GYN chief at the University of Colorado School of Medicine. If all eligible moms decided to be induced, "I do not believe we would have the resources to accommodate them," but may have to adapt based on this study, she said.

WHAT OTHERS THINK

Christen Sadler, a certified nurse-midwife and president-elect of Lamaze International, said other research suggests that "letting labor start on its own is almost always best for moms and babies" unless there's a problem that requires intervening.

Nan Strauss, policy chief for the advocacy group Every Mother Counts, agreed: "Inducing labor disrupts the complex hormonal processes that help labor progress, prepare the baby for birth, and promote successful breastfeeding and bonding."

The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine says it's reasonable for doctors to offer labor induction "after discussing the options thoroughly" with first-time moms at low risk who had an ultrasound early in pregnancy to verify when they will reach 39 weeks.

Dr. Michael Greene of Massachusetts General Hospital noted that women in the study were younger than U.S. mothers on average and fewer were over 35, calling into question how generalizable the results are.

Still, the study "should reassure women that elective induction of labor at 39 weeks is a reasonable choice" that's unlikely to harm moms or babies, he wrote in a commentary in the journal.

___

Marilynn Marchione can be followed on Twitter at http://twitter.com/MMarchioneAP

___

The Associated Press Health & Science Department receives support from the Howard Hughes Medical Institute's Department of Science Education. The AP is solely responsible for all content.

Copyright 2018 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

  • More From wfmj.comHot ClicksMore>>

  • White House called toxins contamination 'PR nightmare'

    White House called toxins contamination 'PR nightmare'

    Thursday, August 16 2018 5:52 PM EDT2018-08-16 21:52:09 GMT
    (AP Photo/Matt Rourke). In this Aug. 1, 2018 photo, Lauren Woehr hands her 16-month-old daughter Caroline, held by her husband Dan McDowell, a cup filled with bottled water at their home in Horsham, Pa. In Horsham and surrounding towns in eastern Penns...(AP Photo/Matt Rourke). In this Aug. 1, 2018 photo, Lauren Woehr hands her 16-month-old daughter Caroline, held by her husband Dan McDowell, a cup filled with bottled water at their home in Horsham, Pa. In Horsham and surrounding towns in eastern Penns...
    Toxics used in nonstick cookware, fast-food wrappers and much more are turning up in public water systems in dozens of states.More >>
    Toxics used in nonstick cookware, fast-food wrappers and much more are turning up in public water systems in dozens of states.More >>
  • Outdoor fun dwindles as smoky haze hangs over California

    Outdoor fun dwindles as smoky haze hangs over California

    Tuesday, August 14 2018 1:03 PM EDT2018-08-14 17:03:07 GMT
    (AP Photo/Lorin Eleni Gill). The city of Berkeley, Calif., sits in a dull, smoky haze Wednesday, Aug. 8, 2018. The air quality has hit unhealthy levels in cities miles away as California's largest wildfire ever burns to the north.(AP Photo/Lorin Eleni Gill). The city of Berkeley, Calif., sits in a dull, smoky haze Wednesday, Aug. 8, 2018. The air quality has hit unhealthy levels in cities miles away as California's largest wildfire ever burns to the north.
    No major wildfires are burning near Sacramento but for two weeks a dull haze and the faint smell of smoke from distant blazes has blanketed California's capital region.More >>
    No major wildfires are burning near Sacramento but for two weeks a dull haze and the faint smell of smoke from distant blazes has blanketed California's capital region.More >>
  • Twitter CEO defends decision not to ban Alex Jones, Infowars

    Twitter CEO defends decision not to ban Alex Jones, Infowars

    Tuesday, August 14 2018 11:01 AM EDT2018-08-14 15:01:19 GMT
    (AP Photo/John Minchillo, File). FILE - In this Tuesday, July 19, 2016 file photo, Alex Jones, center right, is escorted by police out of a crowd of protesters outside the Republican convention in Cleveland. Facebook says it has taken down four pages b...(AP Photo/John Minchillo, File). FILE - In this Tuesday, July 19, 2016 file photo, Alex Jones, center right, is escorted by police out of a crowd of protesters outside the Republican convention in Cleveland. Facebook says it has taken down four pages b...
    Twitter CEO Jack Dorsey defend company decision not to ban right-wing conspiracy theorist Alex Jones and his "Infowars" show.More >>
    Twitter CEO Jack Dorsey defend company decision not to ban right-wing conspiracy theorist Alex Jones and his "Infowars" show.More >>
  • More NewsMore>>

  • Austintown Police say missing 11-year-old boy has been found safe

    Austintown Police say missing 11-year-old boy has been found safe

    Thursday, August 16 2018 11:45 PM EDT2018-08-17 03:45:49 GMT

    Austintown Police are now searching for 11-year old Christian Shuler, who is currently missing from a residence in Austintown. According to police, Christian was last seen wearing black shorts with teal on the sides, a black shirt with gold on the front, and he was not wearing any shoes. Officers are asking if you see him or have seen him, that you please call the Austintown Police Department immediately at (330) 799-9721.

    More >>

    Austintown Police are now searching for 11-year old Christian Shuler, who is currently missing from a residence in Austintown. According to police, Christian was last seen wearing black shorts with teal on the sides, a black shirt with gold on the front, and he was not wearing any shoes. Officers are asking if you see him or have seen him, that you please call the Austintown Police Department immediately at (330) 799-9721.

    More >>
  • PA Department of Corrections responds after employees from multiple prison's fall ill

    PA Department of Corrections responds after employees from multiple prison's fall ill

    Thursday, August 16 2018 11:05 PM EDT2018-08-17 03:05:07 GMT

    Yet another prison in Pennsylvania had an incident that sent staffers to the hospital. Butler County Prison the fourth corrections facility in the state to have an incident similar to the one in Mercer County last week. Our Pittsburgh affiliate said four officers and two nurses were exposed to an unknown substance, possible K2 synthetic marijuana. Prison staffers from Fayette County Prison, SCI Green, and SCI Mercer have all been treated after coming into contact with an unknown su...

    More >>

    Yet another prison in Pennsylvania had an incident that sent staffers to the hospital. Butler County Prison the fourth corrections facility in the state to have an incident similar to the one in Mercer County last week. Our Pittsburgh affiliate said four officers and two nurses were exposed to an unknown substance, possible K2 synthetic marijuana. Prison staffers from Fayette County Prison, SCI Green, and SCI Mercer have all been treated after coming into contact with an unknown su...

    More >>
  • Bus drivers train for evacuating special needs passengers

    Bus drivers train for evacuating special needs passengers

    Thursday, August 16 2018 8:54 PM EDT2018-08-17 00:54:49 GMT

    While all bus drivers are trained on how to evacuate kids during an emergency situation, for those drivers with special needs passengers evacuations can be even more challenging. Julie Bloom, the training coordinator, explains that many challenges present themselves due to the variety of disabilities, saying "you might have a kids who is ambulatory but does not have the ability to stand in one place by himself, or you might have a child who doesn't have the abilit...

    More >>

    While all bus drivers are trained on how to evacuate kids during an emergency situation, for those drivers with special needs passengers evacuations can be even more challenging. Julie Bloom, the training coordinator, explains that many challenges present themselves due to the variety of disabilities, saying "you might have a kids who is ambulatory but does not have the ability to stand in one place by himself, or you might have a child who doesn't have the abilit...

    More >>
Powered by Frankly
All content © Copyright 2000 - 2018 WFMJ. All Rights Reserved. For more information on this site, please read our Privacy Policy and Terms