CircleBumpCheckedFilledMedicalBookmarkBookmarkTickBookmarkAddCheckBoxCheckBoxFilled

Can Labor Induction Raise Your Risk Of C-Section?

save article
profile picture of Kylie McConville
Updated March 2, 2017
Hero Image

According to new research, doctors and health officials are taking a fresh, clean look at whether or not inducing labor is to blame for rising C-section rates.

In a review of over 37 different studies on labor induction, researchers from the University of Calgary in Canada actually found that induced deliveries actually decreased a woman’s risk of having a C-section.

Lead study author Dr. Stephen Wood said, “It’s quite remarkable that the studies do show a slight reduction of C-sections.” From the previous studies, Wood and his colleagues gleaned that the research that linked induced labor to an increased C-section risk didn’t account for other birth complications that might have actually increased a woman’s risk for C-sections.  However, new reports from the CDC actually found that C-section rates in America have actually gone down, with only about 33 percent of U.S. births being C-section deliveries.

Woods and researchers reviewed clinical trials that randomly assigned women that were 37 to 42 weeks pregnant to either wait for labor to occur naturally or to be induced. While most of the trials included women who had no problems (aside from prolonged labor), 10 of the trials did look at women who were having multiples or had other health issues (such as diabetes or high blood pressure). In total, researchers had information on roughly 6,250 women who would be induced and data on 5,920 women who were put in a type of wait-and-see grouping.

Here’s what they found: About 17 percent of women who had labor induced ending up having a C-section delivery, while 20 percent of women in the wait-and-see group ended up delivering via C-section. The results suggest that reducing inductions could potentially reduce a woman’s risk of C-section, however, Woods warns that the “results of the analysis do not mean that all women whose pregnancy lasts too long should be induced, because better studies are needed.” However, Woods does believe that the takeaway from the research is important for women and moms-to-be. He said, “I think that they should perhaps worry less about whether or not they’re going to have a C-section just because they’re going to be induced.”

Related Video

We asked doctors whether or not it was safe to stimulate labor and surprisingly, those in the medical community are split on the issue.

Dr. Michael C. Klein, MD at Family Practice & Pediatrics at University British Columbia, said, “Under some circumstances induction is absolutely called for and will improve the outcome for the mother and baby. But when it’s not necessary, it won’t improve these outcomes,and can actually have the opposite effect.” As for the risk of C-section delivery with an induction, Klein said, “With labor induction and the increased risk of c-section, you’re creating large problems and making all sorts of extra interventions necessary. A medical induction with oxytocin requires an intravenous and continuous electronic fetal monitoring; the woman is now considered high-risk, and over-stimulation of the uterus with oxytocin or even induction by cervical agents can cause more fetal problems than if she were in spontaneous labor. And she’s now stuck in bed, which leads to abnormal labor progress and makes her more likely to have a c-section. She’s also more likely to require an epidural, which gives effective pain relief but causes a need for more oxytocin, so labor will be prolonged by three to four hours. And if the epidural is given too early, it can cause abnormal fetal positions, leading to more painful back labor. The epidural also decreases her ability to push, so she’s more likely to need vacuum extraction and forceps, there’s more perineal trauma, and again, a c-section is more likely. Induction changes everything.”

While Dr. James M. Nicholson, MD at Family Medicine & Community Health at UPenn, noted “What I do is called active (or preventative) management. This means doing something about the risk rather than expectant management (waiting for the problem to develop), which most OBs are most comfortable with.” He said, “I think it goes back to what you’re inducing for, when you’re inducing, and how. For example, if you’re inducing before 38 weeks for elective reasons, just to get the baby delivered, it’s too early. Or, if you’re going to bring someone in at 39 weeks, give six hours of Pitocin and call it a day and then do a C-section because the induction ‘didn’t work,’ I just don’t think that’s a fair attempt. It can take a couple days! This is the issue I have with people saying there are too many inductions performed. If inductions are done properly — after 38 weeks with good ripening and a longer dose of Pitocin — we won’t have such a problem.”

Were you induced? Did doctors warn it raised your C-section delivery risk?

Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.

save article
ADVERTISEMENT

Next on Your Reading List

woman holding her baby's hand after undergoing c section procedure
What to Know About C-Section Procedures
Medically Reviewed by Kendra Segura, MD
mom showing c section scar while holding baby
What to Expect During Your C-Section Recovery
Medically Reviewed by Kendra Segura, MD
pregnant meghan trainor and son riley smiling
Meghan Trainor on Learning to Love Her Body Again Post C-Section
By Wyndi Kappes
ADVERTISEMENT
First-Time C-Section Rates Are at an All-Time High, New Report Shows
First-Time C-Section Rates Are at an All-Time High, New Report Shows
By Wyndi Kappes
frida mom c section recovery products gif
Frida Mom Is Launching New Products to Help With C-Section Recovery
By Nehal Aggarwal
Peaceful new baby sleeping with mom holding its hands.
Study Says Beneficial Bacteria Can Be Restored to Baby After C-Section
By Nehal Aggarwal
Q&A: Is a C-section More Difficult if I'm Overweight?
Q&A: Is a C-section More Difficult if I'm Overweight?
By Colleen Canney
ADVERTISEMENT
11 Things No One Tells You About C-sections
11 Things No One Tells You About C-sections
By Erin Walters
shawn johnson in labor for 22 hours.
Shawn Johnson Reveals She “Felt Guilty” for Delivering via C-Section
By Nehal Aggarwal
pregnant reality star amy duggar
Amy Duggar Had a Planned C-Section and She Isn't Here for Any Shaming
By Ashley Edwards Walker
ADVERTISEMENT
actress gemma atkins responds to c-section shamers
Actress Gemma Atkinson Defends Herself Against C-Section Shaming
By Ashley Edwards Walker
actress kata mara opens up about emergency c-section
Kate Mara Shares ‘Devastation’ Over Emergency C-Section but Wouldn’t Change a Thing
By Stephanie Grassullo
new mom holding her newborn baby after delivery
This 30-Second Video Shows Why C-Section Recovery Is Crucial for New Moms
By Stephanie Grassullo
ADVERTISEMENT
husband calls his wife badass for delivering their child via c-section
How Your Partner Really Sees Your C-Section Scar: 'Strong, Powerful, Dedicated and Bad*ss'
By Stephanie Grassullo
person holding newborn baby's hand in the hospital
C-Section Births Have Nearly Doubled Worldwide Since 2000, Study Finds
By Stephanie Grassullo
new mom sweetly kissing her newborn baby in bed
New Mom Reflects on Her Emergency C-Section: 'at That Moment, I Couldn’t Be More Proud'
By Stephanie Grassullo
mom delivering baby through c-section
This Mom Has One Thing to Say About C-Sections: They Are ‘Never the Easy Way Out’
By Stephanie Grassullo
ADVERTISEMENT
What No One Tells You About C-Section Guilt
What No One Tells You About C-Section Guilt
By Gina Bazer
A Microbe Wipe Could Bridge the Gap Between Vaginal and C-Section Deliveries—But Is It Safe?
A Microbe Wipe Could Bridge the Gap Between Vaginal and C-Section Deliveries—But Is It Safe?
By Anisa Arsenault
mom's c-section photo expressing c-section birth is not the easy way out
Mom's Candid List of Reasons Why a C-Section Is Not the 'Easy Way Out' Is a Must-Read
By Ashley Edwards Walker
ADVERTISEMENT
Article removed.
Article removed.
Name added. View Your List