Women׳s perceptions of induction of labour outcomes: Results of an online-survey in Germany

• Women need more information and support with decision-making regarding induction of labour in the absence of medical reasons.
• Most women would not chose another induction in a further pregnancy.
• Many women would like complementary and alternative methods for induction.

Objectiveinduction of labour (IOL) is a common procedure in high income countries. It may be conducted for medical as well as non-medical reasons.Women׳s views on induction of labour have not extensively been evaluated as yet. Also, women׳s preferences for certain methods of induction including alternative and complementary methods need further exploration in order to meet their expectations and needs.Design and settingwe published a short online questionnaire on women׳s views and experiences with IOL.Measurements and findingswe asked for indication and gestational age at induction; method of induction, duration of labour and mode of birth. We also asked for the extent of desired, and experienced support and participation in decision-making. Within four weeks of being online, 698 women answered the questionnaire. Most frequent reasons for induction were postmaturity (51.7%), doctor´s recommendation (31.6%) and medical complications (25.6%). Most women were induced with misoprostol or dinoprostone, but nearly half of the respondents were also offered, or asked for, complementary and alternative methods (CAM). 50% or more women would have preferred more information on alternatives to IOL, methods of IOL, side effects of the drugs, information on alternatives (59.2%) and on the medication (55.3%). Many would have wished for more support (49.9%) with decision-making (55.2%), and more time (54.1%).Key conclusionwomen׳s expectations and needs regarding IOL are widely unmet in current clinical practice.Implications for practicethere is a need for evidence-based information and decisional support for pregnant women who need to decide how to proceed once term is reached.