As noted earlier, the decrease in Caesarean rates seen in these meta-analyses was almost exclusively due to a study conducted by Hannah et al.40 Therefore, it is important to take a closer look at this study. Between 1985 and 1990, Hannah et al. randomly assigned 3407 low-risk women from six different hospitals in Canada to either expectant management or elective induction at 41 weeks. Women could be included if they had a live,