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Induction of labor in women 35 years and older (March 2016)

The risk of stillbirth at term rises with increasing maternal age. Term induction of labor for older mothers may reduce the risk of stillbirth but has raised concerns for potentially increasing cesarean and operative vaginal delivery rates. However, in a trial of over 600 women aged 35 years or older, cesarean and operative vaginal delivery rates were similar among women induced in the 39th week of pregnancy or expectantly managed [8]. This study adds to the body of literature indicating that induction of labor at term does not increase the rates of cesarean or operative vaginal delivery. (See "Management of infertility and pregnancy in women of advanced age", section on 'Risk of stillbirth versus delivery'.)

     

 
     

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