Document Detail


Postdate antenatal testing.
MedLine Citation:
PMID:  7649318     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To test the effect on pregnancy outcome of a policy of very early commencement of postdate surveillance testing, and induction of labor at 42 weeks. METHODS: Retrospective analysis of 2776 consecutive cephalic deliveries at 38-42 weeks of gestation. Management of the postdate pregnancies included twice-weekly antenatal testing beginning at 40 completed weeks and elective induction of labor at 42 completed weeks. Pregnancy outcome parameters were compared between the groups delivered at 38-40 weeks and at 41-42 weeks. RESULTS: There were 2138 pregnancies delivered at 38-40 weeks and 638 at 41-42 weeks. The latter group had a statistically significant increase in the rate of cesarean section, mainly accounted for by an increased rate of fetal distress and failure to progress in labor. Similarly the rate of instrumental vaginal delivery, meconium in labor and macrosomia had a statistically significantly higher incidence in the postdate group. These differences in outcome were already apparent at 41 weeks of gestation. CONCLUSION: Despite early initiation of fetal surveillance, starting at 40 completed weeks, postdate pregnancies are associated with an increased rate of emergency cesarean section, macrosomia and meconium in labor.
Authors:
G Ohel; N Yaacobi; N Linder; J Younis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  49     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  1995 May 
Date Detail:
Created Date:  1995-09-28     Completed Date:  1995-09-28     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  145-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Poriya Hospital, Tiberias, Israel.
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MeSH Terms
Descriptor/Qualifier:
Cesarean Section
Female
Fetal Distress / etiology,  therapy
Fetal Macrosomia / etiology,  prevention & control
Fetal Monitoring
Gestational Age
Humans
Infant, Newborn
Labor, Induced*
Meconium Aspiration Syndrome / etiology,  prevention & control
Obstetric Labor Complications / etiology*,  therapy
Pregnancy
Pregnancy, Prolonged*
Risk Factors

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


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