Outcomes of elective induction of labour compared with expectant management: population based study.

BMJ : British Medical Journal
Sarah J StockJane E Norman

Abstract

To determine neonatal outcomes (perinatal mortality and special care unit admission) and maternal outcomes (mode of delivery, delivery complications) of elective induction of labour compared with expectant management. Retrospective cohort study using an unselected population database. Consultant and midwife led obstetric units in Scotland 1981-2007. 1,271,549 women with singleton pregnancies of 37 weeks or more gestation. Outcomes of elective induction of labour (induction of labour with no recognised medical indication) at 37, 38, 39, 40, and 41 weeks' gestation compared with those of expectant management (continuation of pregnancy to either spontaneous labour, induction of labour or caesarean section at a later gestation). Extended perinatal mortality, mode of delivery, postpartum haemorrhage, obstetric anal sphincter injury, and admission to a neonatal or special care baby unit. Outcomes were adjusted for age at delivery, parity, year of birth, birth weight, deprivation category, and, where appropriate, mode of delivery. At each gestation between 37 and 41 completed weeks, elective induction of labour was associated with a decreased odds of perinatal mortality compared with expectant management (at 40 weeks' gestation 0.08% ...Continue Reading

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Citations

Oct 23, 2012·Evidence-based Medicine·Sarah Jane Stock, Jane Elizabeth Norman
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