Article, 2024

Earlier routine induction of labor—Consequences on mother and child morbidity

Health Economics, ISSN 1057-9230, 1099-1050, 10.1002/hec.4877

Contributors

Gregersen, Maria Koch 0000-0003-1756-6222 (Corresponding author) [1]

Affiliations

  1. [1] Aarhus University
  2. [NORA names: AU Aarhus University; University; Denmark; Europe, EU; Nordic; OECD]

Abstract

A growing number of birth interventions had led to a concern for potential health consequences. This study investigates the consequences of earlier routine labor induction. It exploits a natural experiment caused by the introduction of new Danish obstetric guidelines in 2011. Consequently, routine labor induction was moved forward from 14 to 10-13 days past the expected due date (EDD) and extended antenatal surveillance was introduced from 7 days past the EDD. Using administrative data, I find that affected mothers on average had a 9-11 percentage points (32%-38%) higher risk of being induced the following years. Yet, mother and child short- and medium-term morbidity were largely unaffected.

Keywords

EDD, administrative data, affected mother, antenatal surveillance, average, birth, birth interventions, child morbidity, children, children's short-, consequences, data, date, days, experiments, guidelines, health consequences, induction, intervention, introduction, labor induction, labour consequences, medium-term morbidity, morbidity, mothers, natural experiment, obstetric guidelines, percentage, percentage points, point, potential health consequences, risk, routine labor induction, short-, study, surveillance, years

Data Provider: Digital Science