Less Elective Early Deliveries After Oregon's Hard-Stop Policy Passes
There was a reduction in the rate of elective inductions before 39 weeks, as well as in elective early-term cesareans.
HealthDay News -- According to a study published in Obstetrics & Gynecology, the introduction of the hard-stop policy in Oregon was associated with a reduction in elective early-term deliveries.
Jonathan Snowden, PhD, from the Oregon Health & Science University in Portland, and colleagues conducted a population-based retrospective cohort study of Oregon births from 2008 to 2013.
They examined the outcomes of induction of labor and cesarean section at 37 or 38 weeks of gestation without a documented indication on the birth certificate before and after the Oregon hard-stop policy (2008 to 2010 and 2012 to 2013, respectively).
The researchers observed a decrease in the rate of elective inductions before 39 weeks of gestation, from 4.0% in the pre-policy period to 2.5% during the post-policy period (P<.001); elective early-term cesarean deliveries also decreased (from 3.4 to 2.1%; P<.001).
From pre- to post-policy, there was no change observed in neonatal intensive care unit admission, stillbirth or assisted ventilation; chorioamnionitis increased from 1.2 to 2.2% (adjusted odds ratio, 1.94; P<.001).
"Oregon's statewide policy to limit elective early-term delivery was associated with a reduction in elective early-term deliveries, but no improvement in maternal or neonatal outcomes," the authors write.
Snowden JM, et al. "Oregonʼs Hard-Stop Policy Limiting Elective Early-Term Deliveries". Obstetrics & Gynecology. 2016. doi: 10.1097/AOG.0000000000001737. [Epub ahead of print]