الفهرس 
P HYSIOLOG Y OF L ABOROnly 14 pages are availabe for public view
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Abstract
Background: Elective induction of labour means initiation of labour at term pregnancy without any acceptable medical or obstetric indication.
Objectives: The aim of the work was to compare between elective induction of labour at 39 weeks gestation in nulliparous women versus expectant management in decreasing rate of CS
Patients and Methods: This study was conducted at Obstetrics & Gynecology department; Ain Shams University, Maternity Hospital in the period of time between October 2018 to June 2019. The total number of patient was 138 patients allocated randomly into two groups: group A included 70 patients who was electively be inducted to labour at 39 weeks gestation, group B included 68 patients who was expectantly managed.
Results: The current study found that Elective induction of labor in non-complicated nulliparous at 39 weeks gestation is associated with a lower risk for cesarean delivery in comparable with expectant management group (RR = 0.58, 95% CI = 0.34 to 0.97, P-value = 0.038) with a number needed to treat (NNT) of 5.9 (95% CI = 3.1 to 60.6). The results of our study indicate that among uncomplicated, nulliparous, non-anomalous, singleton, and vertex pregnancies, elective induction of labor at 39 weeks resulted in less maternal and neonatal risk as compared to expectant management with. Specifically, irrespective of cervical examination, the 39-week elective induction cohort experienced fewer cesarean deliveries, lower rates of maternal morbidity, fewer stillbirths and neonatal deaths, and less neonatal morbidity than mothers expectantly managed until 41 weeks.
Conclusion: Study report that elective induction of labour at 39 weeks gestation in nulliparous women results in decreasing rate of CS significantly compared with expectant management.