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Eur J Obstet Gynecol Reprod Biol. 2012 Jun;162(2):144-8. doi: 10.1016/j.ejogrb.2012.02.016. Epub 2012 Mar 15.

Induction of labour at term for women over 35 years old: a survey of the views of women and obstetricians.

Author information

1
Department of Obstetrics and Gynaecology, School of Clinical Sciences, University of Nottingham, Nottingham, UK. katefwalker@doctors.org.uk

Abstract

OBJECTIVES:

To determine the views of UK women and obstetricians relating to induction of labour at term for women over 35 years of age.

STUDY DESIGN:

Cross-sectional web-based survey sent to members of the British Maternal and Fetal Medicine Society (BMFMS) and pregnant or recently delivered members of a large social network site for parents (www.mumsnet.com). One hundred and twenty-eight consultant obstetrician members of BMFMS and 663 pregnant or recently delivered women responded.

RESULTS:

Two hundred and eighty-eight women (43%) would consider induction of labour for maternal age alone, and 192 women (29%) would consider participating in a randomised trial of induction of labour at term versus expectant management in a future pregnancy. Three percent (n=4) of consultant obstetricians offer induction of labour at term to women at 35-39 years of age, 37% (n=47) to women at 40-44 years of age and 55% (n=70) to those over 45 years. Sixty-one consultants (48%) would participate in a trial to test the effect of a policy of induction for nulliparous women over 35 years old.

CONCLUSIONS:

The policy of offering induction of labour at term for advanced maternal age is widespread and a significant percentage of women consider it to be a valid indication.

PMID:
22424584
DOI:
10.1016/j.ejogrb.2012.02.016
[Indexed for MEDLINE]

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