{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:32:30Z","timestamp":1761744750599,"version":"3.37.3"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,5,2]],"date-time":"2018-05-02T00:00:00Z","timestamp":1525219200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2019,4]]},"abstract":"Background<\/jats:title>Early\u2010term delivery is an important cause of short\u2010term neonatal morbidity and associated high healthcare costs, with possible additional long\u2010term developmental ramifications. As a form of \u2018iatrogenic\u2019 delivery, induction of labour (IOL<\/jats:styled-content>) is a potentially modifiable contributor to this burden.<\/jats:p><\/jats:sec>Aims<\/jats:title>To determine patterns of, and primary indication for, early\u2010term IOL<\/jats:styled-content>, as well as temporal trends in this primary indication and differences from other modes of delivery with respect to maternal factors and maternal\/neonatal outcomes.<\/jats:p><\/jats:sec>Materials and Methods<\/jats:title>The Canberra Hospital births database (2012\u20132016) was queried; patients who underwent IOL<\/jats:styled-content> were included in the analysis.<\/jats:p><\/jats:sec>Results<\/jats:title>Total deliveries and the proportion of early\u2010term IOL<\/jats:styled-content> procedures rose markedly over the time period. Gestational diabetes mellitus (GDM<\/jats:styled-content>) was the most frequent and an increasing main indication for IOL<\/jats:styled-content>. GDM<\/jats:styled-content> was associated with significantly higher body mass index, an increased proportion of obesity, and a greater incidence of labour complications related to macrosomia. Birthweight of neonates of diabetic mothers was significantly higher, which was associated with decreased rates of admission to the special care nursery\/neonatal intensive care unit (SCN<\/jats:styled-content>\/NICU<\/jats:styled-content>) compared to all other babies. GDM<\/jats:styled-content> increased relative risk of early\u2010term IOL<\/jats:styled-content> in obese women by 1.8 times.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>The burden of GDM<\/jats:styled-content> and early\u2010term IOL<\/jats:styled-content> have increased at The Canberra Hospital although adverse short\u2010term neonatal outcomes have not, possibly suggesting appropriate management of these patients. Nonetheless, effort should be made to identify patients who can safely continue pregnancy to full term, given the higher proportion of SCN<\/jats:styled-content>\/NICU<\/jats:styled-content> admissions among early\u2010term neonates.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12820","type":"journal-article","created":{"date-parts":[[2018,5,2]],"date-time":"2018-05-02T13:39:00Z","timestamp":1525268340000},"page":"215-220","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Obesity, gestational diabetes and macrosomia are associated with increasing rates of early\u2010term induction of labour at The Canberra Hospital"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0369-5090","authenticated-orcid":false,"given":"Jonathan T.","family":"McGuane","sequence":"first","affiliation":[{"name":"Australian National University Medical School The Canberra Hospital Canberra ACT Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori","family":"Grlj","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology ACT Health Centenary Hospital for Women and Children Canberra ACT Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6055-5129","authenticated-orcid":false,"given":"Michael J.","family":"Peek","sequence":"additional","affiliation":[{"name":"Australian National University Medical School The Canberra Hospital Canberra ACT Australia"},{"name":"Department of Obstetrics and Gynaecology ACT Health Centenary Hospital for Women and Children Canberra ACT Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,5,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000437385.88715.4a"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2013.2581"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2013.851190"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-2002"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e896"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-1654"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000289"},{"key":"e_1_2_6_9_1","first-page":"528","article-title":"Gestational diabetes mellitus negotiating the confusion","volume":"42","author":"Nankervis A","year":"2013","journal-title":"Aust Fam Physician"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000428649.57622.a7"},{"key":"e_1_2_6_11_1","first-page":"62","article-title":"Induction of labour","volume":"13","author":"McDonnell R","year":"2011","journal-title":"O&G Magazine"},{"key":"e_1_2_6_12_1","first-page":"CD000938","article-title":"Induction of labour at or near term for suspected fetal macrosomia","volume":"5","author":"Boulvain M","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12255"},{"issue":"6","key":"e_1_2_6_14_1","first-page":"917","article-title":"Elective induction of labor as a risk factor for cesarean delivery among low\u2010risk women at term","volume":"65","author":"Maslow AS","year":"2000","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(99)00377-4"},{"key":"e_1_2_6_16_1","first-page":"1767","article-title":"Management of gestational diabetes mellitus","volume":"68","author":"Turok DK","year":"2003","journal-title":"Am Fam Physician"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/60.1.173"},{"key":"e_1_2_6_18_1","unstructured":"Gender Indicators Australia [Internet].2016. 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