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December 2012 · Vol. 24, No. 12

EXAMINING THE EVIDENCE

Does an unfavorable cervix
preclude induction of labor
at term in women who have
gestational hypertension
or mild preeclampsia?

No. This post hoc analysis from the Hypertension and Preeclampsia Intervention Trial at Term (HYPITAT) found that, contrary to widely held belief, induction of labor at term is of significant benefit to women who have an unfavorable cervix

Tajik P, van der Tuuk K, Koopmans CM, et al. Should cervical favourability play a role in the decision for labour induction in gestational hypertension or mild preeclampsia at term? An exploratory analysis of the HYPITAT trial. BJOG. 2012;119(9):1123–1130.

EXPERT COMMENTARY

George Macones, MD

Professor and Chair, Department of ObGyn, Washington University in St. Louis School of Medicine, St. Louis, Missouri.



The optimal management of gestational hypertension and mild preeclampsia at term has been a subject of great debate over the past decade. The controversy centers on the timing of delivery—induction of labor versus expectant management.

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