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Patients were offered labor induction. Those who agreed formed the induction group, while those who declined and were discharged home comprised the control group. Maternal and neonatal outcomes were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 413 patients were included: 282 in the induction group and 131 in the expectant management group. Gestational age at delivery was lower in the induction group (39.4\u2009\u00b1\u20090.3 vs. 40.1\u2009\u00b1\u20090.3 weeks, p\u2009&lt;\u20090.001). No significant differences were observed in birthweight, cesarean delivery rates, or neonatal intensive care unit (NICU) admission. The induction group had significantly fewer neonates with cord pH\u2009&lt;\u20097.15 (2.5% vs. 6.9%, p\u2009=\u20090.034), and a shorter duration of neonatal hospitalization (2.0\u2009\u00b1\u20090.2 vs. 2.3\u2009\u00b1\u20090.5 days, p\u2009=\u20090.034); however, 5-min Apgar scores were similar between the groups. Total maternal hospitalization duration was significantly longer in the induction group (3.6\u2009\u00b1\u20090.6 vs. 2.2\u2009\u00b1\u20090.5 days, p\u2009&lt;\u20090.001), though postpartum stay was slightly shorter (2.0\u2009\u00b1\u20090.2 vs. 2.2\u2009\u00b1\u20090.1 days, p\u2009&lt;\u20090.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among primiparous patients presenting with DFM between 39\u2009+\u20090 and 39\u2009+\u20096 weeks, labor induction was associated with earlier delivery and improved umbilical cord pH without increasing maternal or neonatal complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00404-026-08303-8","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T16:26:45Z","timestamp":1767716805000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Immediate induction versus expectant management in primiparas presenting with decreased fetal movements at 39 weeks"],"prefix":"10.1007","volume":"313","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0131-3936","authenticated-orcid":false,"given":"Raneen","family":"Abu Shqara","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kylie Ella","family":"Marcovich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yara","family":"Nakhleh Francis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yara","family":"Bishara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadir","family":"Ganem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lior","family":"Lowenstein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maya","family":"Frank Wolf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,1,6]]},"reference":[{"key":"8303_CR1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0b013e3181b52df1","author":"MT Kinsella","year":"2009","unstructured":"Kinsella MT, Monk C (2009) Impact of maternal stress, depression and anxiety on fetal neurobehavioral development. 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