CRICO CRICO home

Advanced Search

  • Topic
  • Specialty
  • Content Type

RESET SEARCH CRITERIA

Also Related

< Back To Patient Safety
0 dislikes

< Hide

Comments For

OB Guideline 14: Scheduled and Elective Delivery

0 comments

< Shrink

Add Your Voice

All comments are posted anonymously. Your comment will be attributed to: "Anonymous user."

post comment

Delete

Are you sure you want to delete this comment?

OB Guideline 14: Scheduled and Elective Delivery

Related to: Clinical Guidelines, Communication, Cures Act: Opening Notes, Nursing, Obstetrics

Elective Delivery refers to delivery of a normal pregnancy without a recognized maternal or fetal indication.1

Scheduled Delivery refers to a purposely timed delivery for either induction of labor or for cesarean birth.

Delivery occurring more than seven days prior to the EDD is associated with an increased risk of adverse neonatal outcomes and may be associated with an increased risk of cesarean delivery in nulliparous women. Therefore:

Elective delivery of singleton gestations should not be planned to occur before seven days prior to the EDD, i.e., prior to 39 weeks gestation.

When scheduled for maternal or fetal indications, referred to as a "scheduled indicated delivery," the timing of delivery is determined by the medical situation.2

Confirmation of term gestation is dependent on satisfying at least one of the following gestational age criteria:3

  • known date of assisted reproductive technologic intervention,
  • an ultrasound measurement of the fetus obtained at <20 weeks gestation supports gestational age of 39 weeks or greater,
  • fetal heart tones have been documented as present for 30 weeks by Doppler, and
  • it has been 36 weeks since a serum or urine human chorionic gonadotropin pregnancy test has been positive.

A test indicating fetal lung maturity does not itself meet the criteria for elective delivery.


  1. Non-medically indicated early term deliveries. ACOG Committee Opinion No. 561. April 2013, Reaffirmed 2015. American College of Obstetricians and Gynecologists.
  2. Medically indicated late-preterm and early-term deliveries. ACOG Committee Opinion No. 560. April 2013, Reaffirmed 2015. American College of Obstetricians and Gynecologists.
  3. Induction of labor. ACOG Practice Bulletin No. 107. August 2009, Reaffirmed 2016. American College of Obstetricians and Gynecologists.
 << Guideline 13             Web Guideline Home Page             Guideline 15 >>

December 20, 2017
0 dislikes

< Back To Patient Safety