Elective Induction of Labour in Normal Pregnant Nulliparous Women at 39 Weeks versus Expectant Management: Randomized Controlled Trial

Abstract

Elective induction of labour means initiation of labour at term pregnancy without any acceptable medical or obstetric indication This study was conducted at Obstetrics & Gynecology department; Ain Shams University Maternity Hospital in the period of time between October 2018 to june 2019. The aim of the work was to compare between elective induction of labour at 39 weeks gestation in nulliparous women versus expectant management in decreasing rate of CS The total number of patient was 138 patients allocated randomly into two groups Group A included 70 patients who was electively be inducted to labour at 39 weeks gestation Group B included 68 patients who was expectantly managed The current study found that Elective induction of labor in non-complicated nulliparous at 39 weeks gestation is associated with a lower risk for cesarean delivery in comparable with expectant management group (RR = 0.58, 95% CI = 0.34 to 0.97, P-value = 0.038) with a number needed to treat (NNT) of 5.9 (95% CI = 3.1 to 60.6).