Evidence map›Paper›PMID 39479948›Full record

Trial reportActa obstetricia et gynecologica Scandinavica2025

Motivations for and experience with labor induction at 39 weeks in women with obesity-A qualitative study.

Joan Hansen, Lise Qvirin Krogh, Jens Fuglsang, Sidsel Boie, Tine Brink Henriksen, Katja Albert Taastrøm, Anne Cathrine Maqving Kjeldsen, Julie Glavind, Stina Lou

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta obstetricia et gynecologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Joan HansenDepartment of Obstetrics and Gynecology, Gødstrup Hospital, Gødstrup, Denmark.ORCID 0009-0004-3062-5367
Lise Qvirin KroghDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-7397-4576
Jens FuglsangDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark.
Sidsel BoieDepartment of Obstetrics and Gynecology, Randers Regional Hospital, Randers, Denmark.
Tine Brink HenriksenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Katja Albert TaastrømDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark.
Anne Cathrine Maqving KjeldsenDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark.
Julie GlavindDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-9856-6621
Stina LouDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.

Funding

Novo Nordic Foundation NNF19OC0057545
6 · The paper itself

Abstract

introductionTiming of induction of labor (IOL) at term has been investigated in multiple settings. In Denmark, the 'When to INDuce for OverWeight' (WINDOW) study compares IOL at 39 weeks of gestation vs expectant management in low-risk women with obesity. However, knowledge on women's expectations of and experience with IOL is sparse. The aim of this study was to explore women's motivation to join the WINDOW study and their experience when randomized to IOL at 39 gestational weeks. MATERIAL AND

methodsA qualitative interview study of 25 pregnant women with obesity randomized in the WINDOW study to IOL at 39 weeks of gestation was conducted. Participants were recruited from four hospitals in Central Denmark Region and were interviewed four to six weeks after giving birth. A thematic analysis was performed using a phenomenological approach.

resultsThe analysis resulted in three main themes, (1) Motivation for IOL, (2) The IOL process, and (3) IOL in recollection and in the future. Participants perceived inclusion into the WINDOW study as a "great opportunity," as they hoped to be randomized to IOL at 39 weeks of gestation. Their main motivation for participating was physical discomfort in late pregnancy and a wish for "knowing" the timing of the birth. BMI-related risk factors were mentioned by few as a motivating factor. Some participants described the IOL process as a team effort between the couple and the midwives and were positive towards future IOL. Others associated the IOL process with prolonged labor or described the body as "reluctant" to respond to the induction regime. A desire to experience spontaneous onset of labor in a future pregnancy was mentioned.

conclusionsPhysical discomfort and wanting to "control" the onset of labor were main motivations for women's decision to participate in the WINDOW study, hoping they would be allocated for IOL. Comprehensive information and being supported by midwives through the IOL process was crucial for a positive IOL experience. Some participants were positive towards a future IOL. Others speculated if their body was not ready for birth in 39 weeks of gestation and/or associated the IOL process with a challenging labor.

Indexed as

Gestational AgeLabor, InducedMotivationObesityQualitative ResearchAdultDenmarkFemaleHumansPregnancyPregnancy Complicationsinduction of laborobesityoutpatientspregnancyqualitative research

Identifiers

PMID39479948
PMCPMC11683530

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.