> However, if that mother has to be induced for severe pre-eclampsia 
> (for=20=
>
> instance), or another condition that risks mother and/or baby, then 
> the=20=
>
> physician is certainly being prudent in his/her management. "Do no 
> harm"=20=
>
> goes both ways. Waiting could be doing more harm than good, just as=20
> proceeding without a valild medical indication is also a risk for both=20=
>
> mother and baby.
>

I don't think that people are suggesting that there is never a time when the 
benefits of inducing labour before term outweigh the risks. Severe 
pre-eclampsia is certainly one of them. However, the vast majority of labour 
inductions that I see in my community are not done for valid medical 
indications, and I think that is the concern being expressed.

I am not very comfortable with the concept of the physician "managing" the 
labour, prudently or not. I prefer the approach where my caregiver shares 
information with me, lets me know what the options are, and respects the 
decisions I make.

Teresa Pitman 

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