Does electively induced labor in pregnancy affect a child’s future school performance?

New research published in Acta Obstetricia et Gynecologica Scandinavica found that in women with uncomplicated pregnancies, elective induction of labor at any point between 37 and 41 weeks was consistently associated with lower school performance in children at age 12.

The analysis included 266,684 children born between 37 and 42 weeks from uncomplicated pregnancies in white women in the Netherlands. School performance scores at age 12 years were lower in those from pregnancies with induced labor at 37–41 weeks compared with those with uninduced labor. At 42 weeks, there was no significant difference in school performance between these groups.

The proportion of children who reached higher secondary school level was significantly lower after induction of labor at each gestational week from 38–41 weeks. For example, at 38 weeks, rates were 48% versus 54% in induced versus uninduced. (In the Dutch education system, when children reach the end of primary school, around 12 years of age, they are divided over four different levels of secondary education according to their intellectual ability. All children in the last year of regular primary education take a test to guide the choice of level of secondary education.)

“Of course, if there is an indication to induce delivery before 41 weeks, there is little doubt we should do this. But if the reason is purely elective, it is reasonable to be cautious of these subtle adverse effects,” said Wessel Ganzevoort, MD, PhD, senior investigator and maternal fetal medicine specialist at Amsterdam UMC.

URL upon publication: https://onlinelibrary.wiley.com/doi/10.1111/aogs.14520

Additional Information
NOTE: The information contained in this release is protected by copyright. Please include journal attribution in all coverage. For more information or to obtain a PDF of any study, please contact: Sara Henning-Stout, [email protected]

About the Journal
Published monthly, Acta Obstetricia et Gynecologica Scandinavica is an international journal dedicated to providing the very latest information on the results of both clinical and research work from around the globe. The journal regularly publishes commentaries, reviews and original articles on a wide variety of topics.

About Wiley
Wiley is one of the world’s largest publishers and a global leader in scientific research and career-connected education. Founded in 1807, Wiley enables discovery, powers education, and shapes workforces. Through its industry-leading content, digital platforms, and knowledge networks, the company delivers on its timeless mission to unlock human potential. Visit us at Wiley.com. Follow us on Facebook, Twitter, LinkedIn and Instagram.