Elective induction of labour and maternal request: a national population‐based study

Coulm, Bénédicte; Blondel, Béatrice; Alexander, Sophie; Boulvain, Michel; Ray, Camille Le

doi:10.1111/1471-0528.13805

Cited by 19 publications

(12 citation statements)

References 32 publications

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“…In accordance with other studies, the main factor associated with elective induction compared to medically indicated induction was parity, with a markedly higher rate of multiparous women in the elective group [5, 8, 12, 13]. A substantial amount of elective inductions in the present study was due to a negative delivery experience and/or obstetric history.…”

Section: Discussionsupporting

confidence: 90%

“…In the USA, 16% of term deliveries were induced without medical indication [9]. Coulm et al found that 13.9% of the induced labors were elective in France [5]. Even if the rate of elective inductions in Norway seem to be slightly lower than in other western countries, the increase in elective inductions is still of concern.…”

Section: Discussionmentioning

confidence: 99%

“…Ten years later, this had increased to one in five according to the Medical Birth Registry of Norway[4]. This trend is probably multifactorial, where better induction methods and more liberal indications, such as the rising prevalence of induction for maternal requests, are major contributing factors [5, 6]. An improved ability to plan the timing of the delivery by the patient, her family and the physician is a common reason for induction, as is induction of labor for logistic reasons[6].…”

Section: Introductionmentioning

confidence: 99%

“…Implemented patient empowerment may also contribute. Elective inductions, defined as inductions of labor in the absence of medical or obstetrical indications, are common and contribute to the overall increasing induction rate[5, 7–9]. The prevalence of elective induction in Norway is not known[10].…”

Section: Introductionmentioning

confidence: 99%

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Elective induction of labor: A prospective observational study

et al. 2018

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The aim of the present study was to assess indications for induction and describe the characteristics and delivery outcome in medical compared to non-medical/elective inductions. During a three-month period, 1663 term inductions were registered in 24 delivery units in Norway. Inclusion criteria were singleton pregnancies with cephalic presentation at gestational age 37+0 and beyond. Indications, pre-induction Bishop scores, mode of delivery and adverse maternal and fetal outcomes were registered, and compared between the medically indicated and elective induction groups. Ten percent of the inductions were elective, and the four most common indications were maternal request (35%), a previous negative delivery experience or difficult obstetric history (19%), maternal fatigue/tiredness (17%) and anxiety (15%). Nearly half of these inductions were performed at 39+0–40+6 weeks. There were fewer nulliparous women in the elective compared to the medically indicated induction group, 16% vs. 52% (p<0.05). The cesarean section rate in the elective induction group was 14% and 17% in the medically indicated group (14% vs. 17%, OR = 0.8, 95% CI 0.5–1.3). We found that one in ten inductions in Norway is performed without a strict medical indication and 86% of these inductions resulted in vaginal delivery.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Elective induction of labor: A prospective observational study

et al. 2018

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“…The American College of Obstetricians and Gynaecologists too have not recommended elective induction for non obstetric reasons 8 . In a recent large multi center study involving more than 3000 women, carried out in the USA, Induction of labour at 39 weeks in low-risk nulliparous women resulted in a significantly lower frequency of caesarean delivery (CD) although it did not result in a significantly lower frequency of a composite adverse perinatal outcome In a population based study carried out in France in 2010, involving about 14,680 women, there were about 13.9% of elective IOL and 47.3% of them were on the request of the women 10 . Therefore it has been suggested that even in the UK, elective IOL at term on maternal request should be an option which should be available to women 11 , although the NICE Guidelines do not recommend this 14 .…”

mentioning

confidence: 99%

Induction of labour in an out patient setting?

Goonewardene

2018

Sri Lanka J Obstet & Gynae

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Sleep disturbances in late pregnancy: associations with induction of labor

Lähde,

Karlsson,

Karlsson

et al. 2024

Arch Gynecol Obstet

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Purpose Sleep disturbances, which are common during pregnancy, may compromise labor. Nevertheless, little is known about associations between sleep disturbances and the likelihood of ending up induction of labor (IOL). Accordingly, we aimed to evaluate the connections between sleep disturbances during pregnancy and IOL. Methods Altogether 1778 women from the FinnBrain Birth Cohort Study with gestation weeks over 37 + 6 were enrolled in the study. The women were divided into IOL (n = 331) and spontaneous onset of labor (SOL, n = 1447) groups. Sleep disturbances in late pregnancy were evaluated using the Basic Nordic Sleep Questionnaire. Logistic regression analyses were conducted with adjustments for age, body mass index, parity, smoking, and depressive symptoms. Results Sleep disturbances were frequent in both IOL and SOL groups. In the IOL group 43.0% and in the SOL group 39.0% had poor general sleep quality (P = 0.186). Nocturnal awakenings occurred most commonly, in 94.0% and 93.9%, respectively (P = 0.653). In the IOL group, more women (22.7%) were habitual snorers than in the SOL group (17.0%, P = 0.017), however, the difference lost the statistical significance in adjusted analysis (P = 0.848). Women in the IOL group were more likely to be short sleepers (< 7 h) compared to those in the SOL group (20.2% and 15.4%, respectively, P = 0.034) with no difference after adjustment (P = 0.133). The two groups showed no differences in sleep loss (P = 0.252). Conclusions Deterioration in sleep quality was noticeable in pregnant women, but it was unconnected with IOL. As the frequency of IOL is increasing, more research for related risk factors is needed.

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Elective induction of labour and maternal request: a national population‐based study

Abstract: About 13.9% of inductions of labour were elective in France, 47.3% of these requested by women.

Cited by 19 publications

References 32 publications

Elective induction of labor: A prospective observational study

Elective induction of labor: A prospective observational study

Induction of labour in an out patient setting?

Sleep disturbances in late pregnancy: associations with induction of labor

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