Induction of labour versus expectant management for women over 35 years

Not Applicable

Completed

• Conditions: Reproductive Health & Childbirth; Pregnancy and Childbirth; Childbirth

• Registration Number: ISRCTN11517275
• Lead Sponsor: ottingham University Hospitals NHS Trust (UK)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2012-08-23
• Last Update Posted: 17 October 2016

Recruitment & Eligibility

• Status: Completed
• Sex: Female
• Target Recruitment: 630

Inclusion Criteria

Nulliparous women who will be over 35 years at the expected date of delivery, with:
1. A singleton live fetus
2. A cephalic presentation
3. Gestational age between 36 weeks + 0 days and 39 weeks + 6 days
4. No medical contra-indication to induction of labour
5. No medical contra-indication to pregnancy being allowed to proceed to term plus 10 days
6. Willingness to participate in the trial
7. Written informed consent
8. Female participants

Exclusion Criteria

1. Women with a known lethal fetal congenital abnormality.
2. Women with a contra-indication to labour or vaginal delivery (e.g. evidence of fetal compromise such that labour would be contra-indicated; fetal congenital anomaly or condition that might cause a mechanical problem at delivery such as hydrocephalus or cystic hygroma; placenta praevia)
3. Women with a contra-indication to expectant management (e.g. gestational diabetes, proteinuric hypertension (>250mg/l or BP > 140/90 on more than two occasions, two hrs apart)
4. Women with a previous myomectomy.
5. Women who book late for antenatal care and have no dating scan performed between before 22 weeks to provide an accurate EDD.
6. Women who have undergone IVF using donor eggs in the current pregnancy

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Caesarean section