Choosing to Induce: How a randomized trial gave birth to a new era in obstetrics
Dec 14, 2023
auto_awesome
The ARRIVE trial debunked the myth of increased C-section risk with labor induction. The debate on elective induction in obstetrics and the importance of making informed choices. Key findings from the Arrived trial that induction does not increase the risk of C-section. Discussion on epidurals during induction and the benefits of unexpected inductions for mental and emotional preparation.
The ARRIVE trial showed that labor induction does not increase the risk of C-sections, leading to more providers feeling comfortable with inductions.
When considering a labor induction, it is important to have open conversations with healthcare providers, ask about the specifics of the induction process, and make informed decisions based on individual preferences and well-being.
Deep dives
The rise in labor inductions
There has been an increase in labor inductions in recent years, with more people being offered or encouraged to have inductions at the end of their pregnancies.
The Arrived Trial
The Arrived Trial, a randomized control trial, showed that labor induction does not increase the risk of C-sections. This finding has led to more providers feeling comfortable with the idea of inductions.
Considerations for labor induction
When deciding whether to have a labor induction, it is important to discuss the risks and benefits with a healthcare provider. Factors such as medical indications, patient preferences, and the ability to be patient during the induction process should be taken into account.
The importance of informed decision-making
Informed decision-making is crucial when considering a labor induction. Patients should have open conversations with their healthcare providers, ask about the specifics of the induction process, and understand the reasons for and against inducing labor. This allows individuals to make decisions that align with their preferences and overall well-being.
Labor induction did not used to be the norm, but it increasingly is. A big reason for this change is something called the ARRIVE trial, which was designed to test whether routine induction would increase the risk of cesarean section - which, according to the results, it did not. In the wake of the trial, with that concern limited, many more doctors began recommending inductions as routine. (This refers to inductions that are not done by medical necessity; in many cases, it is necessary to induce, sometimes earlier than 39 weeks, to protect the health of the mother or baby.) But this doesn’t work for everyone: some people would rather not be induced, and some researchers have argued that the results from ARRIVE actually do not hold up in the real world.
Today on ParentData, Dr. Nathan Fox, an OB/GYN and co-author of Emily's upcoming book, The Unexpected: Navigating Pregnancy During and After Complications joins to discuss the ARRIVE trial, its clinical aftershocks, and the risks and benefits of letting nature take its course... or grabbing the steering wheel.
Subscribe to ParentData.org for free access to new articles every week on data-driven pregnancy and parenting.
Get the Snipd podcast app
Unlock the knowledge in podcasts with the podcast player of the future.
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode
Save any moment
Hear something you like? Tap your headphones to save it with AI-generated key takeaways
Share & Export
Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode