{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:43:35Z","timestamp":1787013815540,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,6,5]],"date-time":"2021-06-05T00:00:00Z","timestamp":1622851200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004386","name":"Universiti Malaya","doi-asserted-by":"publisher","award":["UM.0000555\/HRU.BK"],"award-info":[{"award-number":["UM.0000555\/HRU.BK"]}],"id":[{"id":"10.13039\/501100004386","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2021,12]]},"abstract":"\n Background<\/jats:title>\n Induction of labour (IOL) in low\u2010risk nulliparas at 39\u00a0weeks reduces caesarean delivery. Multiparas with ripe cervixes typically have vaginal delivery within eight hours. Delivery at night and weekend are associated with higher maternal and neonatal mortality.<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n To evaluate IOL in full\u2010term multiparas with ripe cervixes to achieve delivery at normal working hours and improve maternal satisfaction.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A randomised trial was performed in a tertiary hospital in Malaysia. Low\u2010risk multiparas with ripe cervixes (Bishop score \u22656) were recruited at 38\n +4<\/jats:sup>\n \u201340\n +0<\/jats:sup>\n \u00a0weeks, then randomised to planned labour induction at 39\n +0<\/jats:sup>\n \u00a0weeks or expectant care. Primary outcomes were delivery during \u2018normal working hours\u2019 09:00\u201317:00\u00a0hours, Monday\u2013Friday and patient satisfaction by visual numerical rating scale.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n For IOL (\n n<\/jats:italic>\n \u00a0=\u00a080) vs expectant care (\n n<\/jats:italic>\n \u00a0=\u00a080) arms respectively, primary outcomes of delivery at normal working hours was 27\/80 (34%) vs 29\/78 (37%), relative risk (RR) 0.9, 95% CI 0.5\u20131.7,\n P<\/jats:italic>\n \u00a0=\u00a00.41, patient satisfaction was 8.0\u00a0\u00b1\u00a01.8 vs 7.8\u00a0\u00b1\u00a01.6,\n P<\/jats:italic>\n \u00a0=\u00a00.41; presentation for spontaneous labour or rupture of membranes were 27\/80 (34%) vs 70\/79 (89%), RR 0.4, 95% CI 0.3\u20130.5,\n P<\/jats:italic>\n \u00a0<\u00a00.001; and for labour induction 52\/80 (65%) vs 15\/79 (19%), RR 3.4, 95% CI 2.1\u20135.5,\n P<\/jats:italic>\n \u00a0<\u00a00.001. Caesarean delivery was 8\/80 (10%) vs 4\/79 (5%), RR 2.0, 95% CI 0.62\u20136.3,\n P<\/jats:italic>\n \u00a0=\u00a00.25; and mean birthweight was 3.1\u00a0\u00b1\u00a00.3 vs 3.3\u00a0\u00b1\u00a00.4\u00a0kg,\n P<\/jats:italic>\n \u00a0=\u00a00.06 for IOL vs expectant care, respectively.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Labour induction in low\u2010risk multiparas does not increase births during working hours or improve patient satisfaction. Antenatal clinic visits and non\u2010birth hospitalisation were significantly reduced.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ajo.13377","type":"journal-article","created":{"date-parts":[[2021,6,5]],"date-time":"2021-06-05T09:58:45Z","timestamp":1622887125000},"page":"882-890","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Induction of labour from 39 weeks in low\u2010risk multiparas with ripe cervixes: A randomised controlled trial"],"prefix":"10.1111","volume":"61","author":[{"given":"Peng Chiong","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aida","family":"Othman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Faculty of Medicine University of Malaya Kuala Lumpur 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