Induction of labour: first, do no harm

In previous decades, the potential health gains of induction of labour for the fetus were always tempered by the increased risks of adverse maternal outcomes, especially the increased risk of caesarean section. Induction of labour was therefore reserved for high-risk pregnancies such as those complicated by maternal hypertension, fetal growth restriction, or prelabour ruptured membranes. With increased effectiveness and safety of induced labour, randomised trials now suggest benefits of induction not just in situations of increased fetal risk but also for healthy, uncomplicated pregnancies.