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Research re: positive outcomes for 40+ and induction
4 replies to this topic
Posted 23 May 2019 - 09:01 PM
Does anyone know the research that says something about better outcomes for 40+ years women and inducing labour?
Have had a doc and midwife reference, but haven't been in the right position to question which research article it is.
Posted 24 May 2019 - 07:55 AM
I don't have links, I did when I was researching this when I was pregnant and 40+ I tend to go post dates, so I wanted to know what the best thing to do was.
From what I found, it has been long believed that the incidence of foetal demise increases post dates in women over 40, so best practice is to induce this population of women.
More recent research shows that the increase is actually minor, maybe even negligible.
I think it depends on a few things, whether or not it's your first baby, your overall health, whether or not you have GD and your BMI. I would be weighing it all up with your caregiver before deciding how to proceed.
I decided to induce on the Friday, which would have been 4 days post dates, but I ended up inducing at 40+1 because I had SPD and I just couldn't walk any more. (I had a lovely water birth too)
Good luck with your decision.
Posted 24 May 2019 - 09:12 AM
Here is a link to a scientific impact paper for RCOG (the British equivalent to the college that all OBs are part of, and the RANZCOG follows many guidelines set by them). It’s from 2013 so there may have been more studies done since. The links to the actual articles are in the paper.
The punchline is that the rate of stillbirth goes up at the end of pregnancy, which is why OBs don’t like you to go too far over 41 weeks anyway. After 39 weeks, the rate is higher in older mums (2:1000) compared with the rest of the population (1:1000), so double the rate. This increased rate combined with the usually excellent outcomes after 39 weeks is where the common practice of recommending induction at 39-40 weeks comes from.
Hope that helps.
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