I am a childbirth educator (HypnoBirthing and Lamaze) and doula. It seems like the OBs (and some midwives, frankly) around here will make up any reason to induce, although I am aware that the safest approach is only to induce for medical reasons. Problem is, doctors make every reason seem medical. The term is ambiguous to me. Can someone clarify what exactly ARE medical reasons for induction? For example, I would suspect that preeclampsia is one.
I'll give one example--a first-time IVF mom in her early/mid 40's, with LOTS of fluid, baby measuring about 8-10 weeks ahead of dates (fundal height and u/s), with a history of 2-3 unexplained bleeding episodes (according to u/s, no problems w/ placenta) and high blood pressure throughout pregnancy (no other pre-e s/s), is being induced by OB at 39 weeks, because doctor is afraid she will go into labor on her own and membranes will rupture, causing a prolapsed cord, etc. Her cervix is tight and thick. On the surface, this seems like it could be interpreted as a medical reason to induce. However, I'm very skeptical. Mom wants a natural birth, but trusts her doctor because she doesn't want to risk causing harm to her baby; she is also very adamant about avoiding a c-section. She might just be heading down that path, though.
There's not much that can be done about the above situation, because the induction will happen in 24 hours unless mom goes into labor (and that's unlikely), but I'd like a reference for what medical reasons are for inductions. References to studies would be great, too!