Jan, Enkin et al write that the decision to induce or wait should be made on psychological or social (not physical) grounds, and that woman is the best judge of these and therefore she should make the choice! "The main advantage of the expectant option is the absence of any need for intervention. The woman can stay at home, and she will avoid procedures that might turn out to be less effective and more risky than anticipated". Relevant, given her previous C/S! They also add that, "By the time that clinically significant alterations in coagulation mechanisms could arise, the chances are that the birth will have occurred". Thinking of you & your client, Andrea
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