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Systematic review estimates global labour induction prevalence and trends from 2010 to 2022Labour induction rates rose sharply across the globe between 2010 and 2022

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Key Takeaway
Consider the global labour induction rate of 23.7% in 2019 and its 4% annual increase, noting major data gaps in low-income regions.

This is a systematic review and modelling analysis that synthesized international data to estimate the global prevalence and temporal trends of labour induction from 2010 to 2022. The scope included data from 62 countries, with most studies from high-income countries and Europe, and no eligible data for sub-Saharan Africa.

The authors estimated the global rate of labour induction for 2019 was 23.7% (95% CI: 19.3% to 29.2%). They also found a temporal trend, reporting an annual increase in labour induction between 2010 and 2022 with an incidence rate ratio of 1.04 (95% CI: 1.02 to 1.06).

A key limitation noted by the authors is a critical data gap in low- and middle-income countries, particularly in sub-Saharan Africa. The practice relevance emphasizes strengthening national perinatal data systems, especially in low- and middle-income countries, to monitor and guide appropriate use.

The authors suggest these trends likely reflect expanded clinical indications and improved access, but also signal potential overuse in resource-rich contexts. Identifying the optimal induction rate should be a priority for future research and clinical practice.

Doctors around the world are using labour induction more often to start births. A large review of data from 62 countries shows the rate jumped from about 19 percent in 2010 to nearly 30 percent in 2019. This trend continued through 2022, with an annual increase of 4 percent. The study looked at national records from 176 different studies to find this pattern.

The data came mostly from wealthy nations and Europe. Researchers found that 40 countries helped build the 2019 estimate, while 43 countries tracked the yearly changes. However, there is a critical gap in information for low-income countries, especially in Sub-Saharan Africa. No eligible data exists for that region, which means we do not know if this trend is happening there too.

Experts say these rising numbers likely reflect better access to care and expanded reasons for using induction. But this also signals potential overuse in places with plenty of resources. Strengthening national data systems is essential to monitor this and guide appropriate use. Identifying the right rate for induction should be a priority for future research and clinical practice.

What this means for you:
Labour induction rates rose globally from 2010 to 2022, but data from low-income regions is missing.

Study Details

Study typeSystematic review
Sample sizen = 37
EvidenceLevel 1
PublishedMay 2026
View Original Abstract ↓
Introduction: Induction of labour is a widely used obstetric intervention, yet its use varies markedly, with underuse in some settings and increasing elective use in others. However, the global prevalence and trends worldwide is unknown. We aimed to synthesise national and subnational data to estimate the prevalence of labour induction internationally and assess trends over time. Methods: We sought data from 194 countries through a structured search of national databases and relevant websites. For countries lacking adequate national data, we conducted a systematic review of published studies. Eligible data were pooled to estimate the prevalence of labour induction for 2019, and to examine temporal trends from 2010 to 2022. We used mixed-effects negative binomial regression models with missing data handled using multiple imputation by chained equations. Results: Data were obtained for 62 countries, including national-level data from 19 countries and 176 studies from 43 countries. Overall, 40 countries contributed to the 2019 estimate and 43 to the trend analysis. Most countries with data were high-income (N=37, 86.0%) and in Europe (N=29, 67.4%); there were no eligible data for sub-Saharan Africa. The estimated rate of labour induction for 2019 was 23.7% (95% confidence interval (CI): 19.3% to 29.2%). Induction had an estimated annual increase of 4% between 2010 and 2022 (incidence rate ratio 1.04, 95% CI 1.02 to 1.06). Conclusion: This study provides the first international estimates of labour induction, revealing high and rising rates globally. These trends likely reflect expanded clinical indications and improved access, but also signal potential overuse in resource-rich contexts. Our findings highlight a critical data gap in LMICs, particularly in Sub-Saharan Africa. Strengthening national perinatal data systems, especially in these settings, is essential for monitoring and guiding appropriate use. Identifying the optimal induction rate should be a priority for future research and clinical practice.
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