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Table 3 Survey respondents’ perceptions of practices in relation to the timing of IOL – average and range (min-max) of responses between units

From: Inter-hospital and inter-disciplinary variation in planned birth practices and readiness for change: a survey study

  

35 + 0 weeks onwards

36 + 0 weeks onwards

37 + 0 weeks onwards

38 + 0 weeks onwards

39 + 0 weeks onwards

40 + 0 week onwards

41 + 0 weeks onwards

Not a reason for IOLa

Suspected macrosomia

Average

0%

1%

8%

30%

36%

13%

1%

11%

Range

0–0%

0–10%

0–25%

13–44%

21–66%

0–25%

0–2%

0–25%

Request for IOL without medical indications

Average

0%

0%

0%

6%

19%

19%

18%

38%

Range

0–0%

0–3%

0–0%

0–18%

3–32%

6–38%

0–23%

14–52%

Gestational diabetes that is diet controlled

Average

0%

0%

1%

10%

19%

37%

19%

13%

Range

0–0%

0–3%

0–7%

0–26%

10–38%

32–69%

0–45%

0–23%

Gestational diabetes managed with oral hypoglycaemics (e.g. metformin)

Average

0%

0%

1%

22%

36%

33%

3%

5%

Range

0–0%

0–3%

0–7%

3–46%

29–56%

18–55%

0–7%

0–5%

Insulin-requiring gestational diabetes (not pre-pregnancy Type I or II)

Average

0%

0%

6%

41%

41%

9%

0%

2%

Range

0–3%

0–0%

0–25%

15–61%

11–62%

0–23%

0–0%

0–3%

Pre-pregnancy diabetes, Type I

Average

0%

0%

17%

47%

26%

8%

0%

2%

Range

0–3%

0–0%

0–46%

23–63%

7–46%

0–15%

0–0%

0–8%

Pre-pregnancy diabetes, Type II

Average

0%

0%

8%

47%

31%

11%

0%

3%

Range

0–3%

0–0%

0–25%

23–68%

7–48%

0–25%

0–2%

0–8%

Gestational hypertension (new-onset high blood pressure after 20 weeks, no preeclampsia)

Average

0%

0%

14%

33%

30%

16%

2%

5%

Range

0–0%

0–3%

5–29%

23–44%

21–38%

4–23%

0–4%

0–0%

Chronic/essential hypertension

Average

0%

0%

14%

35%

27%

16%

2%

6%

Range

0–0%

0–3%

5–29%

23–50%

16–38%

4–24%

0–3%

0–8%

Preeclampsia (assume no urgent indication for birth)

Average

0%

0%

29%

29%

26%

11%

2%

3%

Range

0–4%

0–0%

0–59%

14–46%

11–50%

0–23%

0–5%

0–6%

Uncomplicated monochorionic diamniotic (MCDA) twin pregnancies (if vaginal birth is planned)

Average

2%

27%

30%

19%

8%

3%

0%

11%

Range

0–13%

6–52%

13–45%

0–32%

4–19%

0–15%

0–0%

0–44%

Uncomplicated dichorionic diamniotic (DCDA) twin pregnancies (if vaginal birth is planned)

Average

0%

5%

29%

37%

12%

6%

0%

10%

Range

0–3%

0–11%

6–59%

15–50%

3–31%

0–15%

0–0%

0–44%

Cholestasis of pregnancy

Average

1%

5%

55%

21%

10%

4%

1%

3%

Range

0–6%

0–21%

32–79%

6–32%

0–25%

0–15%

0–4%

0–6%

Maternal age of 40 and over

Average

0%

0%

5%

11%

37%

43%

0%

5%

Range

0–0%

0–0%

0–16%

6–25%

23–63%

18–62%

0–0%

0–16%

Substantially elevated BMI (>  40 kg/m2)

Average

0%

1%

3%

13%

25%

41%

2%

15%

Range

0–0%

0–6%

0–13%

0–29%

13–38%

19–59%

0–7%

3–44%

  1. athe “not a reason for IOL” option does not mean women in your unit are never induced for this reason: it indicates that it is not standard practice to induce for this reason/IOL for this reason would only be on a case by case basis