Figure 3.

Cumulative total patient care time from admission to delivery

This graph depicts the total of hours spent by all study patients in the labor and delivery unit from admission to delivery according to gestational age group and whether patients underwent a planned CD, IOL, or was managed for labor or SROM. Hours were normalized to account for the 5.8% lower delivery volume in the POST period. Planned CD was identified by any of the following indications: desired repeat CD, placenta previa, malpresentation, history of shoulder dystocia, suspected macrosomia, or other nonemergent condition(s) that precluded attempt of labor or vaginal delivery unless such condition was identified after initiation of labor induction.

CD, cesarean delivery; IOL, induction of labor; PRE, pre-implementation period; POST, post-implementation; SROM, spontaneous rupture of membranes.

Jelks. Embracing 39-week elective induction. Am J Obstet Gynecol Glob Rep 2023.