Midwives, labour induction and the Wooden Spoon award Part 2.
Rates of labour induction without clear medical indication have risen exponentially. This trend has not been without consequence of increased perinatal mortality and morbidity. Midwives must understand the importance of educating pregnant women and other obstetrical providers, about the risks associated with labour induction. Maternal-child health policy that minimises unnecessary interventions is urgently needed and prevention strategies are described in the second part of this article. Midwives are challenged to consider their role in reducing unnecessary labour inductions in a rapidly changing birth culture reflecting high intervention.
University of Colorado Denver College of Nursing, Division of Women, Chldren and Family Health, USA.
Marie
M
Hastings-Tolsma
Steffie
S
Goodman
D002585:Cesarean Section / Q000451:nursing / Q000706:statistics & numerical data*; D005113:Extraction, Obstetrical / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007751:Labor, Induced / Q000451:nursing / Q000706:statistics & numerical data*; D008880:Midwifery / Q000458:organization & administration*; D007744:Obstetric Labor Complications / Q000453:epidemiology* / Q000451:nursing; D009774:Obstetrics / Q000458:organization & administration; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011263:Pregnancy Trimester, Third; D011295:Prenatal Care / Q000706:statistics & numerical data; D006113:United Kingdom / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D016387:Women's Health