I read with great interest the editorial by Dr. Signore regarding the measur- able adverse consequences of elective inductions. One of her suggestions was the involvement of all relevant stakeholders (eg, faculty, private practitioners, nursing, hospital administrators) in the development and implementation of reforms. I was surprised that on her list of "relevant stakeholders" who should be involved in the discussion of elective inductions that she left off the most important stakeholder of all: the patient. The issue of inductions has personal significance to the specific patient that cannot be measured by outcome studies.
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