{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T16:20:39Z","timestamp":1790439639474,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,12,29]],"date-time":"2015-12-29T00:00:00Z","timestamp":1451347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000071","name":"National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["K99 HD079658\u201001"],"award-info":[{"award-number":["K99 HD079658\u201001"]}],"id":[{"id":"10.13039\/100000071","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare perinatal outcomes between elective induction of labour (<jats:styled-content style=\"fixed-case\">eIOL<\/jats:styled-content>) and expectant management in obese women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Deliveries in California in 2007.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Term, singleton, vertex, nonanomalous deliveries among obese women (<jats:italic>n<\/jats:italic>\u00a0=\u00a074\u00a0725).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Women who underwent <jats:styled-content style=\"fixed-case\">eIOL<\/jats:styled-content> at 37\u00a0weeks were compared with women who were expectantly managed at that gestational age. Similar comparisons were made at 38, 39, and 40\u00a0weeks. Results were stratified by parity. Chi\u2010square tests and multivariable logistic regression were used for statistical comparison.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Method of delivery, severe perineal lacerations, postpartum haemorrhage, chorioamnionitis, macrosomia, shoulder dystocia, brachial plexus injury, respiratory distress syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The odds of caesarean delivery were lower among nulliparous women with <jats:styled-content style=\"fixed-case\">eIOL<\/jats:styled-content> at 37\u00a0weeks [odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>) 0.55, 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 0.34\u20130.90] and 39\u00a0weeks (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.77, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.63\u20130.95) compared to expectant management. Among multiparous women with a prior vaginal delivery, <jats:styled-content style=\"fixed-case\">eIOL<\/jats:styled-content> at 37 (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.39, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.24\u20130.64), 38 (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.65, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.51\u20130.82), and 39\u00a0weeks (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.67, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.56\u20130.81) was associated with lower odds of caesarean. Additionally, <jats:styled-content style=\"fixed-case\">eIOL<\/jats:styled-content> at 38, 39, and 40\u00a0weeks was associated with lower odds of macrosomia. There were no differences in the odds of operative vaginal delivery, lacerations, brachial plexus injury or respiratory distress syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In obese women, term <jats:styled-content style=\"fixed-case\">eIOL<\/jats:styled-content> may decrease the risk of caesarean delivery, particularly in multiparas, without increasing the risks of other adverse outcomes when compared with expectant management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Elective induction of labour in obese women does not increase risk of caesarean or other perinatal morbidities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.13807","type":"journal-article","created":{"date-parts":[[2015,12,29]],"date-time":"2015-12-29T12:28:53Z","timestamp":1451392133000},"page":"271-278","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":52,"title":["Term elective induction of labour and perinatal outcomes in obese women: retrospective cohort study"],"prefix":"10.1111","volume":"123","author":[{"given":"VR","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Oregon Health and Science University Portland OR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BG","family":"Darney","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Oregon Health and Science University Portland OR USA"},{"name":"National Public Health Institute Cuernvaca Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JM","family":"Snowden","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Oregon Health and Science University Portland OR USA"},{"name":"Department of Public Health and Preventive Medicine Oregon Health and Science University Portland OR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"EK","family":"Main","sequence":"additional","affiliation":[{"name":"California Pacific Medical Center San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W","family":"Gilbert","sequence":"additional","affiliation":[{"name":"Sutter Health System Sacramento CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Chung","sequence":"additional","affiliation":[{"name":"University of California Irvine CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AB","family":"Caughey","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Oregon Health and Science University Portland OR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,12,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2013.02.015"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.01180.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.03.027"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2008.00511.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0b013e31828738ce"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0b013e3181878645"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.09.019"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31825bd286"},{"key":"e_1_2_7_10_1","unstructured":"The Joint Commission.Specifications manual for Joint Commission National Quality Core Measures. Appendix\u00a0A Table\u00a011.07: Conditions possibly justifying elective delivery prior to 39\u00a0weeks gestation.2012; [http:\/\/manual.jointcommission.org\/releases\/TJC2013A\/AppendixATJC.html] Accessed 22 October 2012."},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-151-4-200908180-00007"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e2838"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182a6a4d0"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ppe.12120"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.01.034"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.03.016"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.06.054"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000428649.57622.a7"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1471-0528.13807","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.13807","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T13:02:08Z","timestamp":1696251728000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.13807"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,29]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,1]]}},"alternative-id":["10.1111\/1471-0528.13807"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.13807","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,29]]},"assertion":[{"value":"2015-10-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-12-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}