The risk of a cesarean delivery was 12 percent lower in women whose labor was induced compared with women who were managed with a 'wait-and-see' approach (expectant management), according to a research paper. Labor is induced in about 20% of all births for a variety of reasons such as preeclampsia, diabetes, preterm rupture of the membranes, overdue pregnancy and fetal distress. Induction is often thought to be associated with increased risk of cesarean deliveries despite evidence indicating a lower risk. The authors found a 12% lower risk of cesarean delivery in term or post-term pregnancies that were induced but not in preterm births. The risk was lower in both high-risk and low-risk pregnancies, and the risk of fetal death or complications was lower in women who were induced compared with those managed expectantly.