Choosing Wisely®

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

Recommendation

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.

About Choosing Wisely®

The Choosing Wisely® campaign was created as an initiative of the American Board of Internal Medicine (ABIM) Foundation to improve health care quality. More than 70 specialty societies have identified commonly used tests or procedures within their specialties that are possibly overused.

Learn more about the AAFP support of the Choosing Wisely® campaign.

More About Choosing Wisely®

This recommendation is provided solely for informational purposes and is not intended as a substitute for consultation with a medical professional. Patients with any specific questions about this recommendation or their individual situation should consult their physician.