Document Detail

Operative versus conservative management for 'fetal distress' in labour.
MedLine Citation:
PMID:  22696323     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Suspected fetal distress usually results in expedited delivery of a baby (often operatively). The potential harm to a mother and baby from operative delivery may not always be justified especially when fetal distress may be misdiagnosed. Even with a correct diagnosis it is not clear whether an operative or conservative approach is better.
OBJECTIVES: The objective of this review was to assess the effects of operative management for fetal distress on maternal and perinatal morbidity.
SEARCH METHODS: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (15 February 2012).
SELECTION CRITERIA: Randomised trials of operative (caesarean section or expedited vaginal delivery) versus conservative management of suspected fetal distress.
DATA COLLECTION AND ANALYSIS: Trial quality assessment and data extraction were done by both review authors.
MAIN RESULTS: One study of 350 women was included. This trial was carried out in 1959. There was no difference in perinatal mortality (risk ratio 1.18, 95% confidence interval 0.56 to 2.48).
AUTHORS' CONCLUSIONS: There have been no contemporary trials of operative versus conservative management of suspected fetal distress. In settings without modern obstetric facilities, a policy of operative delivery in the event of meconium-stained liquor or fetal heart rate changes has not been shown to reduce perinatal mortality.
G Justus Hofmeyr; Regina Kulier
Related Documents :
17187653 - Elevated plasma urokinase receptor predicts low birth weight in maternal malaria.
17583243 - Fetal parvovirus b19 infection in a twin pregnancy with 1 twin presenting with hydrops ...
7103263 - Disseminated blastomycosis in a pregnant woman: review of amphotericin b usage during p...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2012-06-13
Journal Detail:
Title:  The Cochrane database of systematic reviews     Volume:  6     ISSN:  1469-493X     ISO Abbreviation:  Cochrane Database Syst Rev     Publication Date:  2012  
Date Detail:
Created Date:  2012-06-14     Completed Date:  2012-08-13     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  100909747     Medline TA:  Cochrane Database Syst Rev     Country:  England    
Other Details:
Languages:  eng     Pagination:  CD001065     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, East London Hospital Complex, University of the Witwatersrand, University of FortHare, Eastern Cape Department of Health, East London, South Africa.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cesarean Section
Delivery, Obstetric
Fetal Distress / therapy*
Labor, Obstetric*
Perinatal Mortality
Randomized Controlled Trials as Topic
Update Of:
Cochrane Database Syst Rev. 2000;(2):CD001065   [PMID:  10796236 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Piracetam for fetal distress in labour.
Next Document:  Laparoscopic drilling by diathermy or laser for ovulation induction in anovulatory polycystic ovary ...