Elective induction of labor at 39 weeks among nulliparous women: The impact on maternal and neonatal risk.

ABSTRACT:

Objective

Optimal management of pregnancies at 39 weeks gestational age is unknown. Therefore, we sought to perform a comparative effectiveness analysis of elective induction of labor (eIOL) at 39 weeks among nulliparous women with non-anomalous singleton, vertex fetuses as compared to expectant management (EM) which included IOL for medical or obstetric indications or at 41 weeks in undelivered mothers.

Materials and methods

A Monte Carlo micro-simulation model was constructed modeling two mutually exclusive health states: eIOL at 39 weeks, or EM with IOL for standard medical or obstetrical indications or at 41 weeks if undelivered. Health state distribution probabilities included maternal and perinatal outcomes and were informed by a review of the literature and data deriv

SUBMITTER: Sinkey RG 

PROVIDER: S-EPMC5918610 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature