Till startsida
Sitemap
To content Read more about how we use cookies on gu.se

SWEPIS - SWEdish Post Induction Study

Background
Standard treatment for late term and post term pregnancies in many countries is induction of labor at 41 GW. However, 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.

Aim
The aim with this study is to evaluate if a policy of induction of labour at 41 GW (early induction) is superior, in terms of neonatal and maternal outcomes, women’s and their partners experiences and health care economics as compared to expectant management and induction at 42+0 (late induction) in healthy women with a low risk singleton pregnancy (Elden et al., 2016).

Study 1: Individual in-depth interviews with 10 women at GW 41 + 1-6 days. Phenomenology with a reflective life world approach was used in the analysis (Wessberg, Lundgren, & Elden, 2017).
Study 2: Individual in-depth interviews with women 3 months after delivery. Hermeneutic analysis is in progress
Study 3: Stillbirths and perinatal mortality in induction of labor at GW1 compared to induction of labor in GW 42. A nationwide register study from Sweden.
Study 4: Individual in-depth interviews with 24 women participating in SWEPIS randomized to induction of labor at GW 41 (n=8), to induction of labor in GW 42 (n=8) and women that does not want to get their labor induced (n=8). Phenomenology with a reflective life world approach will be used in the analysis
Study 5: The aim of this study is to investigate if childbirth experiences (CEQ) are different after elective induction of labour at 41 GW and expectant management and induction at 42 GW?
Study 6: The aim of this study is to investigate if the personality (Big Five), self-efficacy (General Self-Efficacy Scale: GES), pain catastrophizing (Pain Catastrophizing Scale: PCS), psychosocial and demographic factors are associated with positive or negative childbirth experiences (CEQ) after elective induction of labour at 42 GW, and expectant management and induction of labour at 42 GW (n= 2500-3000 women). If so, how do these factors contribute to the different childbirth experiences (CEQ)?
Study 7: The aim with this register-based randomized multicenter study is to evaluate if induction of labour at 41 GW (early induction) is superior, in terms of neonatal and maternal outcomes, as compared to expectant management and induction at 42 GV (late induction) in healthy women with a low risk singleton pregnancy (n=10 038 women).
Study 8: The aim of this study is to investigate if personality, self-efficacy, pain catastrophizing, psychosocial and demographic factors contribute to maternal outcomes, after induction of labour at 41 GW as compared to expectant management and induction at 42+0 in healthy women (n= 2500-3000) with a low risk singleton pregnancy.
Study 9. Cost-effectiveness analyses of if induction of labour at 41 GW (early induction) compared to expectant management and induction at 42+0 (late induction) in healthy women (n= 2500-3000) with a low risk singleton pregnancy.

Elden, H., Hagberg, H., Wessberg, A., Sengpiel, V., Herbst, A., Bullarbo, M.,. 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 Childbirth, 16, 49. doi:10.1186/s12884-016-0836-9
 

Page Manager: Karin Mossberg|Last update: 4/18/2017
Share:

The University of Gothenburg uses cookies to provide you with the best possible user experience. By continuing on this website, you approve of our use of cookies.  What are cookies?