الفهرس 
Elective Induction of Labor at 39 Weeks versus Elective Induction of Labor at 41 Weeks among Nulliparous Women
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Abstract
Timing of delivery is a vital component of a healthy pregnancy. An increase in morbidity and mortality exists on both ends of the gestational age at delivery spectrum.
Objective: Comparison between the effect of elective induction of labour at 39 versus 41 weeks among nulliparous women.
Methods: This cross sectional analytic randomized controlled clinical trial was conducted at Department of obstetrics and gynecology at Kasr Al-Ainy Hospital from April 2021 until October 2021. A total of 92 patients were enrolled and divided into two equal groups, group A (patient group) included 46 pregnant women underwent elective induction of labor at 39 weeks gestational age and group B (control group): included 46 pregnant women underwent elective induction of labor at 41 week.
Results: Rate of CS was statistically significant higher in control group “induction of labor at 41 weeks” 16 (34.8%) vs. 6 (13.0%) due to failed induction in 2/16 (12.5%) vs. 0/6 (0.0%) cases and fetal distress in 14/16 (87.5%) vs. 6/6 (100.0%) cases with p= 0.015 and 0.036 respectively.
Conclusions: In nulliparous women, elective induction of labor at 39 weeks could be considered safer as it is associated with lower rate of cesarean section, failed induction and fetal distress compared with elective induction of labor at 41 weeks