{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T15:42:54Z","timestamp":1789659774737,"version":"4.0.1"},"reference-count":28,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,6,9]],"date-time":"2023-06-09T00:00:00Z","timestamp":1686268800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100015988","name":"Norman Beischer Medical Research Foundation","doi-asserted-by":"publisher","award":["211104"],"award-info":[{"award-number":["211104"]}],"id":[{"id":"10.13039\/100015988","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore the association between induction of labour at full\u2010term gestations in low\u2010risk nulliparous women and childhood school outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective whole\u2010of\u2010population cohort study linking perinatal data to educational test scores at grades 3, 5 and 7 in Victoria, Australia. Low\u2010risk nulliparous women with singleton pregnancies induced at 39 and 40\u2009weeks without a medical indication were compared to those expectantly managed from that week of gestation. Multivariable logistic regressions were used as well as generalised estimating equations on longitudinal data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At 39\u2009weeks, there were 3687 and 103\u2009164 infants in the induction and expectant arms, respectively. At 40\u2009weeks' gestation, there were 7914 and 70\u2009280 infants, respectively. Infants born to nulliparous women induced at 39\u2009weeks' gestation had significantly poorer educational outcomes at grade 3 (adjusted odds ratio (aOR)\u2009=\u20091.39, 95% confidence interval (CI): 1.13\u20131.70) but not grades 5 (aOR\u2009=\u20091.05, 95% CI: 0.84\u20131.33) and 7 (aOR\u2009=\u20091.07, 95% CI: 0.81\u20131.40) compared to those expectantly managed. Infants born to nulliparous women induced at 40\u2009weeks had comparable educational outcomes at grade 3 (aOR\u2009=\u20091.06, 95% CI: 0.90\u20131.25) but poorer educational outcomes at grades 5 (aOR\u2009=\u20091.23, 95% CI: 1.05\u20131.43) and 7 (aOR\u2009=\u20091.23, 95% CI: 1.03\u20131.47) compared to those expectantly managed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There were inconsistent associations between elective induction of labour at full\u2010term gestations in low\u2010risk nulliparous women and impaired childhood school outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16449","type":"journal-article","created":{"date-parts":[[2023,6,9]],"date-time":"2023-06-09T15:24:17Z","timestamp":1686324257000},"page":"1028-1034","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Elective induction of labour at full\u2010term gestations and childhood school outcomes"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4240-5594","authenticated-orcid":false,"given":"Roshan J","family":"Selvaratnam","sequence":"first","affiliation":[{"name":"The Ritchie Centre, Department of Obstetrics and Gynaecology Monash University  Melbourne Victoria Australia"},{"name":"Safer Care Victoria, Department of Health Victorian Government  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Euan M","family":"Wallace","sequence":"additional","affiliation":[{"name":"The Ritchie Centre, Department of Obstetrics and Gynaecology Monash University  Melbourne Victoria Australia"},{"name":"Department of Health Victorian Government  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel L","family":"Rolnik","sequence":"additional","affiliation":[{"name":"The Ritchie Centre, Department of Obstetrics and Gynaecology Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben W","family":"Mol","sequence":"additional","affiliation":[{"name":"The Ritchie Centre, Department of Obstetrics and Gynaecology Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah E","family":"Butler","sequence":"additional","affiliation":[{"name":"The Ritchie Centre, Department of Obstetrics and Gynaecology Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Bisits","sequence":"additional","affiliation":[{"name":"School of Women's and Children's Health University of New South Wales  Sydney New South Wales Australia"},{"name":"Department of Obstetrics and Gynaecology Royal Hospital for Women  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janna","family":"Lawson","sequence":"additional","affiliation":[{"name":"The Ritchie Centre, Department of Obstetrics and Gynaecology Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary\u2010Ann","family":"Davey","sequence":"additional","affiliation":[{"name":"The Ritchie Centre, Department of Obstetrics and Gynaecology Monash University  Melbourne Victoria Australia"},{"name":"Safer Care Victoria, Department of Health Victorian Government  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16215"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(02)02047-1"},{"key":"e_1_2_8_4_1","volume-title":"Australia's Mothers and Babies 2016 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