Study protocol of SWEPIS a Swedish multicentre register based randomised controlled trial to compare induction of labour at 41 completed gestational weeks versus expectant management and induction at 42 completed gestational weeks

Helen Elden; Henrik Hagberg; Anna Wessberg; Verena Sengpiel; Andreas Herbst; Maria Bullarbo; Christina Bergh; Kristian Bolin; Snezana Malbasic; Sissel Saltvedt; Olof Stephansson; Anna-Karin Wikström; Lars Ladfors; Ulla-Britt Wennerholm

doi:10.1186/s12884-016-0836-9

Study protocol of SWEPIS a Swedish multicentre register based randomised controlled trial to compare induction of labour at 41 completed gestational weeks versus expectant management and induction at 42 completed gestational weeks

Helen Elden, Henrik Hagberg, Anna Wessberg, Verena Sengpiel, Andreas Herbst, Maria Bullarbo, Christina Bergh, Kristian Bolin, Snezana Malbasic, Sissel Saltvedt, Olof Stephansson, Anna-Karin Wikström, Lars Ladfors, Ulla-Britt Wennerholm

Perinatal Imaging & Health

Research output: Contribution to journal › Article › peer-review

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Abstract

Observational data shows that postterm pregnancy (≥42 gestational weeks, GW) and late term pregnancy (≥41 GW), as compared to term pregnancy, is associated with an increased risk for adverse outcome for the mother and infant. Standard care in many countries is induction of labour at 42 GW. There is insufficient scientific support that induction of labour at 41 GW, as compared with expectant management and induction at 42 GW will reduce perinatal mortality and morbidity without an increase in operative deliveries, negative delivery experiences or higher costs. Large randomised studies are needed since important outcomes; such as perinatal mortality and hypoxic ischaemic encephalopathy are rare events.

Original language	English
Pages (from-to)	1-10
Number of pages	10
Journal	BMC Pregnancy and Childbirth
Volume	16
Issue number	1
DOIs	https://doi.org/10.1186/s12884-016-0836-9
Publication status	Published - 7 Mar 2016

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Elden, H., Hagberg, H., Wessberg, A., Sengpiel, V., Herbst, A., Bullarbo, M., Bergh, C., Bolin, K., Malbasic, S., Saltvedt, S., Stephansson, O., Wikström, A.-K., Ladfors, L., & Wennerholm, U.-B. (2016). Study protocol of SWEPIS a Swedish multicentre register based randomised controlled trial to compare induction of labour at 41 completed gestational weeks versus expectant management and induction at 42 completed gestational weeks. BMC Pregnancy and Childbirth, 16(1), 1-10. https://doi.org/10.1186/s12884-016-0836-9

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title = "Study protocol of SWEPIS a Swedish multicentre register based randomised controlled trial to compare induction of labour at 41 completed gestational weeks versus expectant management and induction at 42 completed gestational weeks",

abstract = "Observational data shows that postterm pregnancy (≥42 gestational weeks, GW) and late term pregnancy (≥41 GW), as compared to term pregnancy, is associated with an increased risk for adverse outcome for the mother and infant. Standard care in many countries is induction of labour at 42 GW. There is insufficient scientific support that induction of labour at 41 GW, as compared with expectant management and induction at 42 GW will reduce perinatal mortality and morbidity without an increase in operative deliveries, negative delivery experiences or higher costs. Large randomised studies are needed since important outcomes; such as perinatal mortality and hypoxic ischaemic encephalopathy are rare events.",

author = "Helen Elden and Henrik Hagberg and Anna Wessberg and Verena Sengpiel and Andreas Herbst and Maria Bullarbo and Christina Bergh and Kristian Bolin and Snezana Malbasic and Sissel Saltvedt and Olof Stephansson and Anna-Karin Wikstr{\"o}m and Lars Ladfors and Ulla-Britt Wennerholm",

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doi = "10.1186/s12884-016-0836-9",

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Elden, H, Hagberg, H, Wessberg, A, Sengpiel, V, Herbst, A, Bullarbo, M, Bergh, C, Bolin, K, Malbasic, S, Saltvedt, S, Stephansson, O, Wikström, A-K, Ladfors, L & Wennerholm, U-B 2016, 'Study protocol of SWEPIS a Swedish multicentre register based randomised controlled trial to compare induction of labour at 41 completed gestational weeks versus expectant management and induction at 42 completed gestational weeks', BMC Pregnancy and Childbirth, vol. 16, no. 1, pp. 1-10. https://doi.org/10.1186/s12884-016-0836-9

Study protocol of SWEPIS a Swedish multicentre register based randomised controlled trial to compare induction of labour at 41 completed gestational weeks versus expectant management and induction at 42 completed gestational weeks. / Elden, Helen; Hagberg, Henrik; Wessberg, Anna et al.
In: BMC Pregnancy and Childbirth, Vol. 16, No. 1, 07.03.2016, p. 1-10.

Research output: Contribution to journal › Article › peer-review

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T1 - Study protocol of SWEPIS a Swedish multicentre register based randomised controlled trial to compare induction of labour at 41 completed gestational weeks versus expectant management and induction at 42 completed gestational weeks

AU - Elden, Helen

AU - Hagberg, Henrik

AU - Wessberg, Anna

AU - Sengpiel, Verena

AU - Herbst, Andreas

AU - Bullarbo, Maria

AU - Bergh, Christina

AU - Bolin, Kristian

AU - Malbasic, Snezana

AU - Saltvedt, Sissel

AU - Stephansson, Olof

AU - Wikström, Anna-Karin

AU - Ladfors, Lars

AU - Wennerholm, Ulla-Britt

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AB - Observational data shows that postterm pregnancy (≥42 gestational weeks, GW) and late term pregnancy (≥41 GW), as compared to term pregnancy, is associated with an increased risk for adverse outcome for the mother and infant. Standard care in many countries is induction of labour at 42 GW. There is insufficient scientific support that induction of labour at 41 GW, as compared with expectant management and induction at 42 GW will reduce perinatal mortality and morbidity without an increase in operative deliveries, negative delivery experiences or higher costs. Large randomised studies are needed since important outcomes; such as perinatal mortality and hypoxic ischaemic encephalopathy are rare events.

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Elden H, Hagberg H, Wessberg A, Sengpiel V, Herbst A, Bullarbo M et al. Study protocol of SWEPIS a Swedish multicentre register based randomised controlled trial to compare induction of labour at 41 completed gestational weeks versus expectant management and induction at 42 completed gestational weeks. BMC Pregnancy and Childbirth. 2016 Mar 7;16(1):1-10. doi: 10.1186/s12884-016-0836-9