Choosing Wisely®

Elective, Non-medically Indicated Inductions of Labor or Cesarean Deliveries Before 39 Weeks


Don’t schedule elective, non-medically indicated inductions of labor or Cesarean deliveries before 39 weeks, 0 days gestational age.

  • Delivery prior to 39 weeks, 0 days has been shown to be associated with an increased risk of learning disabilities and a potential increase in morbidity and mortality.
  • There are clear medical indications for delivery prior to 39 weeks and 0 days based on maternal and/or fetal conditions.
  • A mature fetal lung test, in the absence of appropriate clinical criteria, is not an indication for delivery.