Costs and effects of amniotomy at home for induction of post-term pregnancy

INTERVENTION: If referral for post‐term pregnancy is planned within the next 24 hours, randomisation takes place: 1. The intervention group will receive amniotomy at home and expectant management of labour for 12 hours 2. The control group will be referred to an obstetrician at 294 days and receives usual standard care CONDITION: Pregnancy, post‐term pregnancy ; Pregnancy and Childbirth ; Disorders related to long gestation and high birth weight PRIMARY OUTCOME: 1. Percentage of women that will deliver without obstetric interventions besides amniotomy; 2. Data of pregnancy outcome, performed management and obstetric interventions are obtained from midwives and obstetricians with a CRF designed for this study; 3. Data regarding patient expectations of birth and birth management are obtained from participating women by questionnaire. This will take place in pregnancy between 292‐294 days but before randomisation.; 4. Data about patient satisfaction and patient costs are obtained by questionnaire within 1 month postpartum SECONDARY OUTCOME: 1. Proportion caesarean section and admission to the neonatal intensive care unit (NICU); 2. Other obstetric interventions on maternal or foetal indication, pain relief, maternal and foetal morbidity, medical and patient costs, patient satisfaction INCLUSION CRITERIA: 1. Informed consent 2. Women with a single foetus in cephalic position 3. Pregnancy of 292 days or more 4. Receiving prenatal care from a midwife in a freestanding midwifery practice