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

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

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John T. Repke, MD

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.

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Dr. Repke is Professor Emeritus, Obstetrics and Gynecology, Penn State University College of Medicine, Hershey, Pennsylvania.

The author reports no financial relationships relevant to this video.

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John T. Repke, MD

Author(s)

John T. Repke, MD

Author and Disclosure Information

Dr. Repke is Professor Emeritus, Obstetrics and Gynecology, Penn State University College of Medicine, Hershey, Pennsylvania.

The author reports no financial relationships relevant to this video.

Author and Disclosure Information

Dr. Repke is Professor Emeritus, Obstetrics and Gynecology, Penn State University College of Medicine, Hershey, Pennsylvania.

The author reports no financial relationships relevant to this video.

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.

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.

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

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

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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.

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