induction

For women making slow progress in spontaneous labour, treatment with oxytocin as compared with no treatment or delayed oxytocin treatment did not result in any discernable difference in the number of caesarean sections performed.

Higher dose of oxytocin starting and increment dose (4 mU per minute or more) was associated with a reduction in the length of labour and in caesarean section, and an increase in spontaneous vaginal birth. 

A policy of labour induction compared with expectant management is associated with fewer perinatal deaths and fewer caesarean sections.

Our findings indicate that elective induction of labour at term gestation can reduce perinatal mortality in developed countries without increasing the risk of operative delivery.

As the number of cesarean sections has risen sharply, with no clear evidence that they improve the health of mothers or babies, experts say that childbirth has become overly medicalized and overly expensive. Now some hospitals are making an effort to reduce those trends.

The best way to predict whether the induction is going to be successful, and whether you are going to have a normal delivery is to do a vaginal examination and check the cervix for 5 different parameters, and adding them up for the Bishop score.