| Induction at 41 weeks increases the risk of caesarean section in a hospital with a low rate of caesarean sections. | |
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MedLine Citation:
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PMID: 22339273 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Abstract Objective: To analyse the impact of a change in the management of prolonged pregnancies from inducing labour at 42(+0) to induction at 41(0-6). Design: Retrospective cohort study Methods: Analysis of 3563 single pregnancies with cephalic presentation of ≥ 41 weeks of gestation delivered in Cruces University Hospital (Spain). Two cohorts were compared corresponding to before and after the change in the policy on induction. Main outcome measures: Induction rate, vaginal delivery rate, newborn morbidity and mortality. Results: The overall rate of caesarean sections in the patients included in the study was 12.8% (19.5% among those induced and 8.4% among those in whom the onset of labour has been spontaneous). The caesarean section rate in cohorts 41(0-6) and 42(+0) were 14.1% and 11.4%, respectively (p=0.01). Though there were more newborns with umbilical cord blood ph<7.10 in cohort 41(0-6) than in the other group (8.7% vs 4.5%; p<0.01), we did not find any significant differences between cohorts in 5-minute Apgar score < 7, number of admissions to the neonatal care unit or perinatal mortality. Conclusion: The induction of labour during week 41 in prolonged pregnancies may increase the rate of caesarean sections in hospitals with low rates of caesarean sections. |
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Authors:
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Jorge Burgos; Leire Rodríguez; Borja Otero; Patricia Cobos; Carmen Osuna; Marí Del Mar Centeno; Juan Carlos Melchor; Luis Fernández-Llebrez; Txantón Martínez-Astorquiza |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-2-17 |
Journal Detail:
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Title: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians Volume: - ISSN: 1476-4954 ISO Abbreviation: - Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2012-2-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101136916 Medline TA: J Matern Fetal Neonatal Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Obstetrics and Gynecology, Cruces University Hospital, Biscay, Spain. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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