Summary: For primigravid women age 35 or older expectant management and induction at 39 weeks may be associated with the same rates of cesarean delivery and operative vaginal delivery, and with the same risks of adverse maternal or neonatal outcomes; with expectant management affording the opportunity to avoid the interventions associated with labor induction.

http://www.ncbi.nlm.nih.gov/m/pubmed/26962902/

Strength of Recommendation = B

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