PA.13 Audit on the Management of Pregnancies in Women 40 years and over at Epsom and St Helier’s NHS Trust Hospital Jan–Dec 2012

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The RCOG Scientific Impact Paper ‘Induction of labour at term in older mothers’ advice this line of management given the multiple adverse maternal and fetal outcomes associated with rising maternal age. IOL at term is not uniform practise across all units. This audit looked into our local management of women 40 years and over.


This audit did not find that IOL at term for older mothers was routine clinical practise. The audit raises the issue of streamlining the management for these women due to higher rate of intervention. We aim to develop a care pathway for the management of pregnancies in women aged 40 years and over and audit obstetric and neonatal outcomes for IOL at term for maternal age alone over a set time period.


Induction of Labour at Term in Older Mothers. Scientific Impact Paper No. 34 RCOG. February 2013

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