{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:03:13Z","timestamp":1787752993801,"version":"build-2784847793"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,2,20]],"date-time":"2022-02-20T00:00:00Z","timestamp":1645315200000},"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":[[2022,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The World Health Organisation recommends that induction of labour (IOL) be performed only with a clear medical indication. Australian rates of IOL appear to be rising, with more than one\u2010third of women having labour induced. This may reflect changing clinician and consumer perceptions of the benefits and potential harms of term IOL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To understand recent trends in the rates and indications for IOL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A retrospective cohort study was undertaken in a Level 6 maternity facility, in metropolitan South\u2010East Queensland, Australia. Routinely collected data were gathered between 2015 and 2020. Exclusion criteria were multiple pregnancies, stillbirth and pre\u2010labour rupture of membranes. Pre\u2010labour rupture of membranes was excluded due to inability to assess if IOL for this indication was a true induction or augmentation of labour. Indications for induction were grouped into maternal, fetal, elective indications, \u2018post\u2010dates\u2019 and decreased fetal movements (DFM). Rates of IOL and frequency of the various indications were compared over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>About 46\u00a0530 livebirths occurred during the study period, with labour induced in 31.7%. The proportion of women undergoing IOL increased from 29.8% in 2015 to 33.4% in 2019 (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). The proportion of inductions for DFM and elective indications increased over time, with a substantial decrease in \u2018post\u2010dates\u2019 IOL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This large contemporary analysis of IOL trends in Australia has demonstrated rising rates and changing indications for IOL. There remain large knowledge gaps in areas such as care of women with DFM, definitions and management of \u2018post\u2010term pregnancy\u2019, and the economic and service impacts of rising trends in the rate of IOL.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13486","type":"journal-article","created":{"date-parts":[[2022,2,20]],"date-time":"2022-02-20T17:00:11Z","timestamp":1645376411000},"page":"407-412","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Five\u2010year trends in induction of labour in a large Australian metropolitan maternity service"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4350-6728","authenticated-orcid":false,"given":"Caoimhe","family":"O\u2019 Sullivan","sequence":"first","affiliation":[{"name":"Obstetrics &amp; Gynaecology Department Mater Misericordiae Ltd  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5163-6701","authenticated-orcid":false,"given":"Erin","family":"Wilson","sequence":"additional","affiliation":[{"name":"Obstetrics &amp; Gynaecology Department Mater Misericordiae Ltd  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7319-6938","authenticated-orcid":false,"given":"Michael","family":"Beckmann","sequence":"additional","affiliation":[{"name":"Obstetrics &amp; Gynaecology Department Mater Misericordiae Ltd  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,20]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Induction of labour [Clinical Guideline]","author":"Guidelines QC","year":"2017"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0216216"},{"key":"e_1_2_7_4_1","volume-title":"WHO recommendations: induction of labour at or beyond term","author":"World Health Organization"},{"key":"e_1_2_7_5_1","unstructured":"Australian Institute of Health and Welfare.Australia\u2019s mothers and babies 2018\u2014in brief Canberra: AIHW;2020. Available from:https:\/\/www.aihw.gov.au\/reports\/mothers\u2010babies\/australias\u2010mothers\u2010and\u2010babies\u20102018\u2010in\u2010brief."},{"key":"e_1_2_7_6_1","doi-asserted-by":"crossref","unstructured":"MiddletonP ShepherdE MorrisJ et al.Induction of labour at or beyond 37 weeks' gestation. Cochrane Database Syst Rev [internet]2020(7). Available from:https:\/\/doi.org\/10.1002\/14651858.CD004945.pub5.","DOI":"10.1002\/14651858.CD004945.pub5"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1800566"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e2838"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479\u2010828X.2012.01442.x"},{"issue":"1","key":"e_1_2_7_10_1","first-page":"14","article-title":"Screening and diagnosis of GDM in New Zealand","volume":"20","author":"Cox S","year":"2018","journal-title":"O&G Magazine"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09\u20101848"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12205"},{"key":"e_1_2_7_13_1","volume-title":"ADIPS Consensus Guidelines for the Testing and Diagnosis of Hyperglycaemia in Pregnancy in Australia and New Zealand","author":"Nankervis AMH","year":"2014"},{"key":"e_1_2_7_14_1","unstructured":"The American College of Obstetricians and Gynecologists [ACOG].Induction of labor practice bulletin 107 Washington: ACOG;2009[Available from:https:\/\/www.acog.org\/clinical\/clinical\u2010guidance\/practice\u2010bulletin\/articles\/2009\/08\/induction\u2010of\u2010labor."},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2009.01026.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2008.04.015"},{"key":"e_1_2_7_17_1","doi-asserted-by":"crossref","unstructured":"BondD GordonA HyettJ et al.Planned early delivery versus expectant management of the term suspected compromised baby for improving outcomes. Cochrane Database Syst Rev [Internet]. 24\/2\/2021. Available from:https:\/\/doi.org\/10.1002\/14651858.CD009433.pub2.","DOI":"10.1002\/14651858.CD009433.pub2"},{"key":"e_1_2_7_18_1","volume-title":"Clinical practice guideline for the care of women with decreased fetal movements","author":"Gardener G","year":"2016"},{"key":"e_1_2_7_19_1","unstructured":"NHS Digital.NHS maternity statistics 2017\u20102018 England: NHS Digital;2018[Available from:https:\/\/files.digital.nhs.uk\/C3\/47466E\/hosp\u2010epis\u2010stat\u2010mat\u2010summary\u2010report%202017\u201018.pdf."},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010020\u201003023\u20106"},{"key":"e_1_2_7_21_1","volume-title":"Queensland Mothers and Babies 2016 and 2017 \u2010 Report of the Queensland Maternal and Perinatal Quality Council 2019","author":"The Queensland Maternal and Perinatal Quality Council","year":"2020"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010016\u20100964\u20102"},{"key":"e_1_2_7_23_1","unstructured":"Still Six Lives.About Still Six Lives 2021. Available from:https:\/\/preventstillbirth.org.au\/about\/."},{"key":"e_1_2_7_24_1","unstructured":"Stillbirth Centre of Research Excellence.Safer Baby Bundle 2019Available from:https:\/\/learn.stillbirthcre.org.au."},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(18)31543\u20105"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003645"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0186287"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0178727"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2020.06.004"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f108"},{"key":"e_1_2_7_31_1","volume-title":"Pregnancy care guideline No.62: Prolonged pregnancy","author":"Australian Government","year":"2019"},{"key":"e_1_2_7_32_1","unstructured":"The American College of Obstetricians and Gynecologists.Clinical guidance for the integration of the findings of The ARRIVE Trial: labour induction versus expectant management in low\u2010risk nulliparous women USA. Am Coll Obstetr Gynecol;2018[updated August 2018]. Available from:https:\/\/www.acog.org\/clinical\/clinical\u2010guidance\/practice\u2010advisory\/articles\/2018\/08\/clinical\u2010guidance\u2010for\u2010integration\u2010of\u2010the\u2010findings\u2010of\u2010the\u2010arrive\u2010trial."}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13486","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.13486","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13486","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T06:54:02Z","timestamp":1692946442000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13486"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,20]]},"references-count":31,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1111\/ajo.13486"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13486","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,20]]},"assertion":[{"value":"2022-02-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}