Transcription of ACOG PRACTICE BULLETIN
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ACOG PRACTICE BULLETIN
CLINICAL MANAGEMENT GUIDELINES FOR OBSTETRICIAN GYNECOLOGISTSNUMBER 107, AUGUST 2009 Replaces PRACTICE BULLETIN Number 10, November 1999; Committee Opinion Number 228, November1999; Committee Opinion Number 248, December 2000; Committee Opinion Number 283, May 2003 This PRACTICE BULLETIN was devel-oped by the ACOG Committee onPractice Bulletins Obstetrics withthe assistance of Mildred Ramirez,MD, and Susan Ramin, MD. Theinformation is designed to aid prac-titioners in making decisions aboutappropriate obstetric and gyneco-logic care. These guidelines shouldnot be construed as dictating anexclusive course of treatment orprocedure. Variations in practicemay be warranted based on theneeds of the individual patient,resources, and limitations unique tothe institution or type of of LaborMore than 22% of all gravid women undergo induction of labor in the UnitedStates, and the overall rate of induction of labor in the United States has morethan doubled since 1990 to 225 per 1,000 live births in 2006 (1).
partum prophylaxis for group B streptococcal infection. Nipple Stimulation Nipple stimulation or unilateral breast stimulation has been used as a natural and inexpensive nonmedical method for inducing labor. In a systematic review of 6 trials including 719 women that compared breast stimu-lation with no intervention, a significant decrease in the
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