| Post-term induction of labor revisited. | |
| | |
MedLine Citation:
|
PMID: 11042317 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Post-term pregnancy (longer than 42 weeks or 294 days) occurs in approximately 10% of all singleton gestations. The adverse outcomes of post-term pregnancy include a substantial increase in perinatal mortality and morbidity. ACOG currently recommends induction of labor for low-risk pregnancy during the 43rd week of gestation. However, that recommendation dates from 1989. Recent reports mandate reconsideration of the management of post-term pregnancy, including reinterpretation of the statistical risk of stillbirth in post-term pregnancies using ongoing (undelivered) rather than delivered pregnancies as the denominator, which shows a far higher risk to post-term fetuses than believed. Recent data also suggest that the risk of cesarean delivery after induction of labor at term is lower than reported, possibly because of improvements in methods for cervical ripening. Those findings provide rationale for earlier labor induction in low-risk pregnancies. |
| | |
Authors:
|
L Rand; J N Robinson; K E Economy; E R Norwitz |
Related Documents
:
|
20708527 - Mastocytosis in pregnancy. 7710467 - A clinical trial of induction of labor versus expectant management in postterm pregnanc... 17479017 - Options for systemic labor analgesia. 8066477 - Mild pregnancy-induced hypertension at term. 1587377 - Survey of 1120 japanese women with a history of recurrent spontaneous abortions. 18262397 - Influence of pregnancy on locomotor and feeding performances of the skink, mabuya multi... |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Obstetrics and gynecology Volume: 96 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 2000 Nov |
Date Detail:
|
Created Date: 2000-11-29 Completed Date: 2000-12-22 Revised Date: 2009-10-26 |
Medline Journal Info:
|
Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 779-83 Citation Subset: AIM; IM |
Affiliation:
|
Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. lrand@partners.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Female Humans Infant Mortality Infant, Newborn Labor, Induced* / adverse effects Practice Guidelines as Topic Pregnancy Pregnancy, Prolonged* Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Combined tobacco and alcohol use by pregnant and reproductive-aged women in the United States.
Next Document: Does full-term pregnancy at a young age protect women against breast cancer through hCG?