What women want and why. Women's preferences for induction of labour or expectant management in late-term pregnancy

Nieuwkerk, Pythia T.; Kortekaas, Joep C.; Dillen, Jeroen van; Mol, Ben W.; Post, Joris A. M. van der; Miranda, Esteriek de

doi:10.1016/j.wombi.2020.03.010

Cited by 15 publications

(16 citation statements)

References 23 publications

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“…The relatively low CS rates in the Netherlands and maternity care system are unique. Within this setting it is important to ascertain women's preferences about IOL at term, as was done in late term [14].…”

Section: Discussionmentioning

confidence: 99%

Pregnant women’s willingness to participate in a randomized trial comparing induction of labor at 39 weeks versus expectant management: A survey in the Netherlands

Croll

Meuleman

Heus

et al. 2022

European Journal of Obstetrics & Gynecology and Reproductiv

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Section: Discussionmentioning

confidence: 99%

Pregnant women’s willingness to participate in a randomized trial comparing induction of labor at 39 weeks versus expectant management: A survey in the Netherlands

Croll

Meuleman

Heus

et al. 2022

European Journal of Obstetrics & Gynecology and Reproductiv

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“…In the same study, women who wanted induction reported lower quality of life (EQ-6D), than women preferring expectant management. 49 In a qualitative study by Wessberg et al, 20 women at 41 weeks expressed lack of information about late-term pregnancy, showing the importance of clear and good information. This was also expressed in a study by Lou et al 18 where some women requested more information about their options with late-term pregnancy.…”

Section: Methodological Considerationsmentioning

confidence: 99%

Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial

Nilvér¹,

Wessberg

Dencker³

et al. 2021

BMJ Open

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ObjectiveTo compare childbirth experiences in women randomly assigned to either induction of labour at 41 weeks or to expectant management until 42 weeks, in the Swedish Post-term Induction Study.DesignA register-based, multicentre, randomised, controlled, superiority trial.SettingWomen were recruited at 14 hospitals in Sweden, 2016–2018.ParticipantsWomen with an uncomplicated singleton pregnancy were recruited at 41 gestational weeks.InterventionsThe women were randomly assigned to induction of labour at 41 weeks (induction group, n=1381) or expectant management until 42 weeks (expectant management group, n=1379).Outcome measuresAs main outcome, women’s childbirth experiences were measured using the Childbirth Experience Questionnaire version 2 (CEQ2), in 656 women, 3 months after the birth at three hospitals. As exploratory outcome, overall childbirth experience was measured in 1457 women using a Visual Analogue Scale (VAS 1–10) within 3 days after delivery at the remaining eleven hospitals.ResultsThe total response rate was 77% (2113/2760). There were no significant differences in childbirth experience measured with CEQ2 between the groups (induction group, n=354; expectant management group, n=302) in the subscales: own capacity (2.8 vs 2.7, p=0.09), perceived safety (3.3 vs 3.2, p=0.06) and professional support (3.6 vs 3.5, p=0.38) or in the total CEQ2 score (3.3 vs 3.2, p=0.07), respectively. Women in the induction group scored higher in the subscale participation (3.6 vs 3.4, p=0.02), although with a small effect size (0.19). No significant difference was observed in overall childbirth experience according to VAS (8.0 (n=735) vs 8.1 (n=735), p=0.22).ConclusionsThere were no differences in childbirth experience, according to CEQ2 or overall childbirth experience assessed with VAS, between women randomly assigned to induction of labour at 41 weeks or expectant management until 42 weeks. Overall, women rated their childbirth experiences high.Trial registration numberISRCTN26113652.

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“…In addition to clinical outcomes, patient’s preference and experience as well as cost are increasingly considered as relevant components in policy making [11] , [12] . We analysed the cost-effectiveness — from a healthcare perspective — of induction of labour at 41 weeks and expectant management until 42 weeks in a low-risk population alongside the INDEX RCT.…”

Section: Introductionmentioning

confidence: 99%

Cost-effectiveness analysis of induction of labour at 41 weeks and expectant management until 42 weeks in low risk women (INDEX trial)

Bruinsma

Eekelen

Wely

et al. 2023

European Journal of Obstetrics & Gynecology and Reproductiv

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What women want and why. Women's preferences for induction of labour or expectant management in late-term pregnancy

Cited by 15 publications

References 23 publications

Pregnant women’s willingness to participate in a randomized trial comparing induction of labor at 39 weeks versus expectant management: A survey in the Netherlands

Pregnant women’s willingness to participate in a randomized trial comparing induction of labor at 39 weeks versus expectant management: A survey in the Netherlands

Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial

Cost-effectiveness analysis of induction of labour at 41 weeks and expectant management until 42 weeks in low risk women (INDEX trial)

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