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Global perspectives on elective induction of labor.

Vogel JP, Gülmezoglu AM, Hofmeyr GJ, Temmerman M

  • Journal Clinical obstetrics and gynecology

  • Published 23 Dec 2014

  • Volume 57

  • ISSUE 2

  • Pagination 331-42

  • DOI 10.1097/GRF.0000000000000031


Elective labor induction is an increasingly common practice not only in high-income countries, but also in many low-income and middle-income countries. Many questions remain unanswered on the safety and cost-effectiveness of elective labor induction, particularly in resource-constrained settings where there may be a high unmet need for medically indicated inductions, as well as limited or no access to appropriate medications and equipment for induction and monitoring, comprehensive emergency obstetric care, safe and timely cesarean section, and appropriate supervision from health professionals. This article considers the global perspective on the epidemiology, practices, safety, and costs associated with elective labor induction.