Elective induction of labor: A prospective observational study

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...

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Main Authors: Dögl, Malin Andrea Elisabeth, Romundstad, Pål Richard, Berntzen, Line Dahlgaard, Fremgaarden, Oliv Camilla, Kirial, Katrine, Kjøllesdal, Anne M, Nygaard, Benedicte Sandhaug, Robberstad, Line, Steen, Thorbjørn, Tappert, Christian, Torkildsen, Cecilie Fredvik, Værnesbranden, Caren Magdalena Rydland, Vietheer, Alexander, Heimstad, Runa Kristine
Format: Article
Language:English
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Summary: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