{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T15:57:31Z","timestamp":1770911851190,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,12,23]],"date-time":"2018-12-23T00:00:00Z","timestamp":1545523200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Ramsay Research and Teaching Fund"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>There is debate about optimal management of pregnancies with a large\u2010for\u2010gestational age baby. A recent randomized controlled trial reported that early term induction of labor reduced cesarean section rates and infant morbidity. However, long term childhood outcomes have not been assessed. The aim of this study was to assess maternal, neonatal and child health and education outcomes for large\u2010for\u2010gestational age babies induced at 37\u201038\u00a0weeks\u2019 gestation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>Population\u2010based record linkage study of term (37+\u00a0weeks), cephalic\u2010presenting singleton pregnancies with a large\u2010for\u2010gestational age baby in New South Wales, Australia, 2002\u20102006. Linked birth, hospital, mortality and education data were used with at least 9\u00a0years follow up from birth. Exposure was induction of labor at 37\u201038\u00a0weeks, compared to expectant management (spontaneous birth at \u226537\u00a0weeks and planned births at \u226539\u00a0weeks). Relative risks and 95% confidence intervals were estimated using Modified Poisson regression with robust variance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 10\u00a0174 eligible pregnancies, 412 (4.0%) had an induction at 37\u201038\u00a0weeks. Women in the induction group were less likely to have a cesarean section (RR: 0.65, 95% CI: 0.51\u20100.82). Infants had higher rates of: low Apgar scores, birth trauma, neonatal jaundice and phototherapy use, and admission to special care nursery or neonatal intensive care than their expectantly managed counterparts. As children, they had higher rates of hospital admission (RR: 1.16, 95% CI: 1.04\u20101.30) and special needs (RR: 1.98, 95% CI: 1.12\u20103.50). However, by age 8 there was no difference in overall literacy and numeracy achievement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although women who had an early term labor induction with large\u2010for\u2010gestational age were less likely to have a cesarean section, the increased risk of neonatal morbidities and additional healthcare utilization suggests the need for caution in early induction of large\u2010for\u2010gestational age babies before 39\u00a0weeks\u2019 gestation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.13511","type":"journal-article","created":{"date-parts":[[2018,12,4]],"date-time":"2018-12-04T10:13:33Z","timestamp":1543918413000},"page":"423-432","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Childhood health and education outcomes following early term induction for large\u2010for\u2010gestational age: A population\u2010based record linkage study"],"prefix":"10.1111","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6024-2958","authenticated-orcid":false,"given":"Ibinabo","family":"Ibiebele","sequence":"first","affiliation":[{"name":"Clinical and Population Perinatal Health Research Northern Sydney Local Health District Kolling Institute Sydney NSW Australia"},{"name":"Northern Clinical School The University of Sydney Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer R.","family":"Bowen","sequence":"additional","affiliation":[{"name":"Clinical and Population Perinatal Health Research Northern Sydney Local Health District Kolling Institute Sydney NSW Australia"},{"name":"Northern Clinical School The University of Sydney Sydney NSW Australia"},{"name":"Department of Neonatology and Pediatrics Northern Sydney Local Health District Royal North Shore Hospital Sydney NSW 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