“…However, there is some work showing that, when labour is induced in nulliparous women in Australia, the CS rate increases from 12% to 22% [ 20 ] or, in Ireland, from 19% to 29% [ 21 ]. Another Irish study comparing IOL and CS rates in ‘private versus public patients’ showed that the CS rate for all women following spontaneous onset of labour was 9.22%, compared with a CS rate of 31.25% following IOL [ 22 ], which lends credence to our participants’ views. This may be a uniquely Irish problem, perhaps due to different methods used for IOL, or differing gestational ages used as a criterion for induction, as IOL with an unripe cervix is more likely to lead to a ‘failed’ induction, a principal cause of CS [ 23 ].…”