This study by Walker et al. (BJOG, 2017) aimed to determine costs and benefits of inducing labor at 39 week in nulliparous women 35 years or older to prevent stillbirths.
Data on nulliparous women aged at least 35 years with a singleton fetus in cephalic presentation who participated in a randomized controlled trial were analyzed. This study found that inducing labor at 39 weeks saved on average £263. The authors point out that a policy of 39 week induction in women 35 and older does not increase C-section rates and appears to save money, although research is still required to confirm reduction in stillbirth rates. It should be noted that this study was performed in the UK, which has a National Health Service, and costs may differ in the US and other countries.
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