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Submitted by: Malonzo, Czarina Anne C. Submitted to: Marissa M. Avila, RN, RM, MAN 4/17/2012

SUMMARY
The article states that unnecessary induction of labor to pregnant women causes further complication than spontaneous labor. It is a University of Adelaide study that says elective induction or inducing labor through unnatural means is becoming more common nowadays.

Dr Rosalie Grivell from the University of Adelaide's Robinson Institute compared cases in which women had undergone spontaneous onset of labor, induction of labor for recognized medical reasons, and induction of labor for non-recognized reasons. She has studied the data of more than 28,000 births from across South Australia, from 2006 to 2007.

The results show that there is a 67% increased chance of requiring a cesarean section for those who had induction of labor for non- recognized reasons. And it also showed that it affects the babys condition, the study states that there is a significant increase of 64% chance of the newborn infant requiring nursery care in a Special Care Baby Unit and an increase risk of 44% requiring treatment compared with infants born following spontaneous onset of labor.

The study aims for better understanding of the optimal timing and management of labor and birth for women with an uncomplicated pregnancy. They also promote spontaneous induction of labor in the absence of serious maternal or fetal problems or a medical recommendation.

They also made clear that they would like to increase awareness of the potential harmful effects that elective induction can have on both women and their infants. Dr Grivell said the lowest risk of adverse complications both for mother and baby occurred with the spontaneous onset of labor between 38 and 39 weeks.

REACTION

It is a good study, it is better to stay with the natural ways than to compromise the health or condition of the mother and the baby. For me it is not important to rush things up if the quality will be sacrificed just like in induction of labor, artificial or elective induction could cause a nurses license and the trust of the public to the medical team if the situation comes to worst. For us part of the medical team especially to nursing profession, prevention is better than cure, so we have to prevent from doing things or manipulating situations in order to prevent further complication to the patients present state. I believe that elective induction of labor is only for those who have existing medical condition, serious maternal or fetal problems and in emergency cases where it is most needed. The babys life could be at risk without even noticing it due to improper practices, and we could never take back that anymore. It is always better to be sure that to take risk with the life of a human being at hand. They went to medical institution because they trust that in the hands of the medical team they will be safe, let us not break their trust, rather continue to gain their trust and confidence in us. The lives of our patients is in our hands so it is our duty to do what is best no matter how much it takes for us to secure their safety and preserve their lives.

RECOMMENDATION

For the general public, this for them to be aware of the pros and cons of such procedures so that they will not be deprived of their rights as patients. This will be additional knowledge for them to inform and spread the news as well. For women especially to those who are currently pregnant, this will be very helpful for them to know the different procedures and steps before the finally give birth. This will give them the idea that it will not be easy but it could secure her and the babys safe condition. For the medical professionals, this will encourage them to do more study about the regular routine in the hospital which might cause complications to patients without knowing it. This will also alert them to stay with the protocols of the hospital.

REFERENCE
University of Adelaide (2012, March 29). Inducing labor unnecessarily increases risk of complications. ScienceDaily. Retrieved April 16, 2012, from

http://www.sciencedaily.com/releases/2012/03/120329100904.htm

ARTICLE
Inducing Labor Unnecessarily Increases Risk of Complications ScienceDaily (Mar. 29, 2012) Inducing labor in pregnant women when it's not medically necessary is more likely to result in complications at birth, according to a University of Adelaide study.

Elective induction is becoming more common around the world, with many women being induced for social and other non-medical reasons.

Dr Rosalie Grivell from the University of Adelaide's Robinson Institute has studied the data of more than 28,000 births from across South Australia, from 2006 to 2007. She compared cases in which women had undergone spontaneous onset of labor, induction of labor for recognized medical reasons, and induction of labor for "nonrecognized" reasons.

Compared with women who entered labor spontaneously, induction for non-recognized reasons was associated with a 67% increased chance of requiring a cesarean section. It also significantly increased the chance of the newborn infant requiring nursery care in a Special Care Baby Unit (an increased risk of 64%) or requiring treatment (an increased risk of 44%) compared with infants born following spontaneous onset of labor. "Our research is aimed at better understanding the optimal timing and management of labor and birth for women with an uncomplicated pregnancy," Dr Grivell said.

"We hope our findings will increase awareness of the potential harmful effects that elective induction can have on both women and their infants. In the absence of serious maternal or fetal problems or a medical recommendation, induction of labor is best avoided."

Dr Grivell said the lowest risk of adverse complications both for mother and baby occurred with the spontaneous onset of labor between 38 and 39 weeks. "While a natural birth is not always possible for women who already have complications in pregnancy, the results of this study suggest that for women whose pregnancy is uncomplicated, awaiting the spontaneous onset of labor is best," Dr Grivell said. This study has been published in the journal Acta Obstetricia et Gynecologica Scandinavica.