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Related Experiment Video

Updated: Mar 25, 2026

Author Spotlight: Advancing Labor Management Through Electromyometrial Imaging for Understanding Uterine Contractions
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Labour induction for late-term or post-term pregnancy.

Rebecca L Dekker1

  • 1Evidence Based Birth, Lexington, KY, United States.

Women and Birth : Journal of the Australian College of Midwives
|February 17, 2016
PubMed
Summary
This summary is machine-generated.

Induction of labour at 41 weeks may not significantly reduce stillbirth risk compared to expectant management. Women should discuss risks and benefits with providers to make informed decisions about labour induction.

Keywords:
Estimated due dateInduction of labourParturitionPerinatal mortalityStillbirth

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Area of Science:

  • Maternal-Fetal Medicine
  • Obstetrics
  • Evidence-Based Medicine

Background:

  • Prolonged pregnancy is a common reason for labour induction in Australia, affecting approximately 25% of women.
  • Clinical guidelines suggest induction at 41 weeks to reduce stillbirth risk without increasing Cesarean rates.
  • The evidence supporting this recommendation requires further scrutiny.

Purpose of the Study:

  • To investigate the risk of stillbirth in post-term pregnancies.
  • To evaluate the benefits and risks associated with elective labour induction.

Main Methods:

  • Review of existing evidence and meta-analyses on stillbirth risk and labour induction.
  • Analysis of data from the Hannah Post Term trial and other relevant studies.
  • Examination of absolute and relative stillbirth risks at different gestational ages.

Main Results:

  • Relative stillbirth risk increases after 37-38 weeks gestation.
  • Absolute stillbirth risk remains low until 42 weeks, reaching approximately 1 in 1000.
  • Previous meta-analyses on elective induction were influenced by studies with high crossover rates.

Conclusions:

  • Women approaching 41 weeks should have detailed discussions with healthcare providers regarding elective induction versus expectant management.
  • Accurate, evidence-based information empowers women to choose between induction or spontaneous labour with fetal monitoring.
  • Both induction and expectant management are considered reasonable options for post-term pregnancies.