{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:04:50Z","timestamp":1782860690875,"version":"3.54.5"},"reference-count":12,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T00:00:00Z","timestamp":1598227200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Stig and Ragna Gorthon Foundation"},{"name":"Thelma Zoegas Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2020-0312_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To study the association between induction and outcome among two-parous women in uncomplicated pregnancies\u00a0\u2265 41<jats:sup>+3<\/jats:sup>, stratified by first labour delivery mode and conditions present at first delivery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2020-0312_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The Swedish Medical Birth Register was used to identify 58,964 uncomplicated singleton pregnancies among women with one previous birth between 1998 and 2014. Women with any registered pregnancy complications were excluded to minimise the risk for indication bias. The outcomes considered were emergency caesarean section (CS), and poor neonatal outcome (Apgar score &lt;7\u00a0at 5\u00a0min, neonatal death, or meconium aspiration).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2020-0312_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Women who were induced at their second labour had higher emergency CS rates compared to women in spontaneously started deliveries (adjusted risk ratio, ARR: 2.11; 95% CI: 2.00\u20132.23). Low Apgar score was more common after induction compared to spontaneously started labours (1.0 vs. 0.7%) (ARR: 1.44; 95% CI: 1.18\u20131.77). Increased CS rates were also found when comparing induction at 41\u00a0+\u00a03 to 41\u00a0+\u00a06\u00a0weeks to labour at 42\u00a0weeks or more, regardless of labour start (ARR 1.39; 95% CI: 1.26\u20131.52).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2020-0312_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>We found an increased risk of CS and poor neonatal outcome after second labour induction in prolonged pregnancies. The second labour vaginal success rate after induction was highly dependent, on first labour delivery mode, but also on diagnoses and conditions present at the first delivery.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2020-0312","type":"journal-article","created":{"date-parts":[[2020,9,7]],"date-time":"2020-09-07T12:21:00Z","timestamp":1599481260000},"page":"23-29","source":"Crossref","is-referenced-by-count":3,"title":["Retrospective study of maternal and neonatal outcomes after induction compared to spontaneous start of labour in women with one previous birth in uncomplicated pregnancies\u00a0\u2265 41<sup>+3<\/sup>"],"prefix":"10.1515","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5910-3907","authenticated-orcid":false,"given":"Lina","family":"Lindegren","sequence":"first","affiliation":[{"name":"Institution of Clinical Sciences, Department of Obstetrics and Gynaecology , University of Lund , BMC F12 , 221 84 Lund Sweden"},{"name":"Helsingborg Hospital , Charlotte Yhlens gata 10 , 254 37 Helsingborg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Stuart","sequence":"additional","affiliation":[{"name":"Helsingborg Hospital , Charlotte Yhlens gata 10 , 254 37 Helsingborg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Carlsson Fagerberg","sequence":"additional","affiliation":[{"name":"Ystad Hospital , Kristianstadsv\u00e4gen 3 , 271 33 Ystad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"K\u00e4ll\u00e9n","sequence":"additional","affiliation":[{"name":"Institution of Clinical Sciences, Department of Obstetrics and Gynaecology , University of Lund , BMC F12 , 221 84 Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2020,8,24]]},"reference":[{"key":"2023033121512580177_j_jpm-2020-0312_ref_001","doi-asserted-by":"crossref","unstructured":"Middleton, P, Shepherd, E, Crowther, CA. Induction of labour for improving birth outcomes for women at or beyond term. Cochrane Database Syst Rev 2018;5:CD004945. https:\/\/doi.org\/10.1002\/14651858.cd004945.pub4.","DOI":"10.1002\/14651858.CD004945.pub4"},{"key":"2023033121512580177_j_jpm-2020-0312_ref_002","doi-asserted-by":"crossref","unstructured":"Keulen, JK, Bruinsma, A, Kortekaas, JC, et al. Induction of labour at 41 weeks versus expectant management until 42 weeks (INDEX): multicentre, randomised non-inferiority trial. BMJ 2019;364:l344. https:\/\/doi.org\/10.1136\/bmj.l344.","DOI":"10.1136\/bmj.l344"},{"key":"2023033121512580177_j_jpm-2020-0312_ref_003","doi-asserted-by":"crossref","unstructured":"Wennerholm, UB, Saltvedt, S, Wessberg, A, Alkmark, M, Bergh, C, Wendel, SB, et al. Induction of labour at 41 weeks versus expectant management and induction of labour at 42 weeks (Swedish Post-term Induction Study, SWEPIS): multicentre, open label, randomised, superiority trial. 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