ArticleBMJ open2022
Breaking the myth: the association between the increasing incidence of labour induction and the rate of caesarean delivery in Finland - a nationwide Medical Birth Register study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Comparison of balloon catheter and oral misoprostol for cervical ripening in women with pre-labor rupture of membranes: A Finnish randomized controlled trial.Acta obstetricia et gynecologica Scandinavica · 2025Trial
- Comparison of balloon catheter, oral misoprostol, or combination of both for cervical ripening in late-term and post-term nulliparous women: A Finnish randomized controlled multicenter pilot trial.Acta obstetricia et gynecologica Scandinavica · 2025Trial
- Assessing the impact of indication for labor induction on delivery outcomes: a five-year cohort study.BMC pregnancy and childbirth · 2026Article
- Induction of Labor in Late-Term and Post-Term Pregnancies Using Double-Balloon Catheter for Cervical Ripening: Predictors of Prolonged Labor Across Four Combined Augmentation Protocols in a Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Optimal Timing of Term Births by Maternal Region of Birth: Elective Induction of Labor Compared to Expectant Management in Victoria, Australia.Birth (Berkeley, Calif.) · 2026Article
- Optimal timing for induction of labor in normotensive women: A retrospective cohort study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Article
- Delivery mode and subsequent birth rate: A nationwide register-based analysis in Finland.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Association Between Pre-Pregnancy Body Mass Index and Labor Induction Success Rates: A Case Control Study.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Sleep disturbances in late pregnancy: associations with induction of labor.Archives of gynecology and obstetrics · 2024Article
- Outpatient labor induction-Exploring future potential by assessing eligibility in a historical cohort.Acta obstetricia et gynecologica Scandinavica · 2024Article
- The rates of vaginal births after cesarean section have increased during the last decades: a nationwide register-based cohort study in Finland.Archives of gynecology and obstetrics · 2023Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine the association between the rate of labour induction and caesarean delivery.
designMedical Birth Register-based study. We used data from the nationwide Medical Birth Register collecting data on delivery outcomes on all births from 22+0 weeks and/or birth weight of at least 500 g.
settingFinland.
participants663 024 live births in Finland from 2008 to 2019.
main outcome measuresThe rates of labour induction and caesarean delivery.
resultsThe rate of labour induction increased from 17.8% to 30.3%; p<0.001, during the study. The total caesarean delivery rate was 16.5% (n=109 178). An increase of approximately 0.5% in the caesarean delivery rate occurred during the study period. The rate of caesarean delivery following labour induction slightly decreased (15.41% vs 15.35%; p<0.001). In multivariate logistic regression analysis, induction of labour was associated with a reduced risk for caesarean delivery (OR 0.72, 95% CI 0.71 to 0.74). The frequency of advanced maternal age (18.0% vs 23.5%; p<0.001), obesity (11.4% vs 15.1%; p<0.001) and gestational diabetes (9.8% vs 23.3%; p<0.001) increased during the study.
conclusionsThe 70% increase in the rate of labour induction in Finland has not led to a significant increase in the rate of caesarean delivery, which has remained one of the lowest in the world. Pregnant women in Finland are more frequently obese, older and diagnosed with gestational diabetes, which may partly explain the increase in the rate of labour induction.
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