{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:24:48Z","timestamp":1760131488631},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2008,10,9]],"date-time":"2008-10-09T00:00:00Z","timestamp":1223510400000},"content-version":"vor","delay-in-days":3173,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2000,2]]},"abstract":"<jats:p> <jats:bold>Exploring the risks associated with induction of labour: a retrospective study using the NIMATS database<\/jats:bold> <\/jats:p><jats:p>Induction of labour is a valuable obstetric procedure, providing obstetricians with the means to intervene should the health of the fetus be in jeopardy. Currently the most common reason for induction of labour is prolonged pregnancy, as obstetricians and midwives are concerned about the risks of postmaturity such as stillbirth, intrapartum asphyxia and birth trauma which are often associated with prolonged pregnancy ( <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#b17\">Lagrew &amp; Freeman 1986<\/jats:ext-link>). A retrospective comparative study was carried out in a large maternity unit to identify whether or not there was clinical evidence to support a policy of elective induction for post\u2010term pregnancy. Three years\u2019 data were extracted from the Northern Ireland Maternity System (NIMATS) by writing new queries to the system. These data on 3262 women who delivered during 1994\u201396 were analysed to compare the outcomes for women who were induced with women who delivered spontaneously. Although the findings from the study in many instances failed to demonstrate statistical significance between the groups they did however, have important clinical significance. For example, those women who were induced had a 5% higher rate of caesarean section, 17% higher rate of epidural analgesia and on average a greater estimated blood loss. Statistical significance was evident when the apgar scores of the infants were compared; those induced had lower apgars at 1 minute (7\u00b778 in the induced group compared to 7\u00b79 in the spontaneous group [<jats:italic>P<\/jats:italic>\u2003&lt;\u20030\u00b701]) and at 5\u2003min (8\u00b799 in the induced group compared to 9\u00b705 in the spontaneous group [<jats:italic>P<\/jats:italic>\u2003&lt;\u20030\u00b702]).<\/jats:p>","DOI":"10.1046\/j.1365-2648.2000.01335.x","type":"journal-article","created":{"date-parts":[[2003,3,12]],"date-time":"2003-03-12T03:45:03Z","timestamp":1047440703000},"page":"410-417","source":"Crossref","is-referenced-by-count":10,"title":["Exploring the risks associated with induction of labour: a retrospective study using the NIMATS database"],"prefix":"10.1111","volume":"31","author":[{"given":"Carol","family":"Duff","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marlene","family":"Sinclair","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,10,9]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(81)90738-9"},{"key":"e_1_2_4_3_2","unstructured":"BakketeigL.&BergsjoP.(1989)Post\u2010term pregnancy: magnitude of the problem. 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