There have been four meta-analyses in which researchers combined all of the results from randomised trials comparing expectant management to elective induction at 41–42 weeks,36–39 as well as two recently published meta-analyses that compare expectant management to elective induction, regardless of gestational age.9,10 The perinatal mortality results of the meta-analyses differ, depending on which randomised trials were included. Two of the five meta-analyses that examined perinatal death found a lower risk of perinatal death in the induction group compared to the expectant management group,38,39 two found no relationship,36,37 and one came close to reaching statistical significance (p = .05).9