Crosby Warren
J Okla State Med Assoc. 2008 Dec;101(12):369-73.
The elective induction of labor has become commonplace, and many are concerned that the practice introduces risks for the woman and the fetus that would not be incurred if labor had been allowed to begin spontaneously. This second paper of a two-part communication reviews the risks and benefits of the elective induction of labor, and concludes that the risks of the induction of labor are few when the patient is properly screened medically and appropriately informed. The principal worry is a doubled risk of Cesarean delivery among primigravidas (not multiparas) in whom labor is electively induced. The benefits of selecting the date of delivery are powerful incentives for busy working women. But the benefits are primarily social, and add to the convenience of both the patient and her doctor. The risks, however, are medical, and are not confined to the pregnancy at risk. Appropriately informed consent is the key to balance the risks and benefits.
选择性引产已变得很常见，许多人担心这种做法会给产妇和胎儿带来风险，而如果让分娩自然开始，这些风险是不会出现的。这篇分为两部分的通讯的第二篇文章回顾了选择性引产的风险和益处，并得出结论：当对患者进行适当的医学筛查并给予适当告知时，引产的风险很小。主要担忧的是，在接受选择性引产的初产妇（而非经产妇）中，剖宫产的风险增加了一倍。选择分娩日期的好处对忙碌的职业女性来说是强大的诱因。但这些好处主要是社会性的，增加了患者及其医生的便利性。然而，风险却是医学性的，且并不局限于有风险的妊娠。适当的知情同意是平衡风险和益处的关键。
