Preventive Labor Induction-AMOR-IPAT: Much Promise, Not Yet Realized

Authors

  • Michael C. Klein MD, CCFP

    Corresponding author
    1. Michael Klein is Emeritus Professor of Family Practice and Pediatrics at the University of British Columbia, and Senior Scientist Emeritus Centre Community and Child Health Research, Child and Family Research Institute, Vancouver, British Columbia, Canada.
      Michael C. Klein, MD, Room L408, Centre for Community Child Health Research, 4480 Oak Street, Vancouver, British Columbia, V6H 3V4, Canada.
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Michael C. Klein, MD, Room L408, Centre for Community Child Health Research, 4480 Oak Street, Vancouver, British Columbia, V6H 3V4, Canada.

Abstract

ABSTRACT: “Preventive Labor Induction-AMOR-IPAT” is a method designed to time induction before the fetus becomes too large or the placenta dysfunctional. In two retrospective cohort studies and one randomized trial, the developers claim to have reduced cesarean section rates and improved newborn outcomes. These claims have yet to be substantiated in an adequately powered trial, but having decided on the need for an induction, the investigators do manage inductions in a woman-centered and intimate style that has merit. (BIRTH 36:1 March 2009)

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