ACNM Recommends No Change in Practice in Response to Study on Induction of Labor
The American College of Nurse-Midwives Affirms Its Support of Normal Physiologic Birth.
RELEASE: February 1, 2018
Silver Spring, MD -- The American College of Nurse-Midwives (ACNM) affirms its support for normal physiologic birth in light of findings presented at the Society for Maternal Fetal Medicine Annual Meeting today. The preliminary results of “A Randomized Trial of Induction Versus Expectant Management (ARRIVE)” suggest that elective induction of labor in women with low risk pregnancies at 39 weeks may reduce the need for a cesarean delivery versus waiting for spontaneous labor to occur on its own. The difference in the reduction of cesarean birth was 19% in the induced group versus 22% in the spontaneous labor group.
ACNM President Lisa Kane Low, PhD, CNM, FACNM, FAAN
cautioned against any rush to change practice and noted that all of us involved
in maternity care should be seeking improvements to reduce the incidence of unnecessary
cesarean births. However, we should not lose sight of the fact that there are a
number of evidence-based ways to accomplish this goal. ACNM has resources
available for health care providers and consumers at www.BirthTOOLS.org that support changing
the culture of maternity care and optimizing health outcomes for families. “ACNM has consistently noted there
are a number of potentially negative implications when we disrupt the normal
physiological processes of labor and birth,” Kane Low said. Research related to the longer-term effects of induction
of labor is emerging, but is still insufficient to determine its full impact.
Additionally, spontaneous labor offers substantial benefits to the mother and her
infant, as ACNM has affirmed in its Consensus Statement on Physiological Birth.