06/19/2023
Why is it becoming so popular to have a 39-week induction? 🤨
Anyone who is pregnant today (and isn't going to a midwife) is very likely to find their OB recommending induction at 39 weeks.
👉🏻This common practice comes from a very large, randomized control trial, which took healthy first-time mothers and assigned them to one of two groups. The 39-week induction group, or “expectant management” group.
(The “expectant management” control group didn't necessarily wait for labor to start on its own— they often also had inductions, just further down the line.🤷🏻)
The results: the women who had a routine induction at 39 weeks had a 19% cesarean rate, versus the expectant management group with a 22% cesarean rate.
🧐 So now we apparently have proof that the best thing to do is to induce all women at 39 weeks, which is being recommended widely.
Not so fast! One of the main flaws here is that the women who entered into this trial would have been eligible for a birth center or home birth. They were very healthy women. When looking at studies of birth centers and home birth outcomes, the range in cesarean rates is 8-13%.
If 19% was the low rate in this totally healthy population, and 8-13% is very achievable… then there's something really wrong with the system. 😵💫
-Henci Goer, Episode 67 of The Birthworker Podcast, “The Fallacy of Unbiased Maternity Care.”
Leave a comment below on your biggest takeaway from this episode! 👇