Document Detail


Prolonged pregnancy: when should we intervene?
MedLine Citation:
PMID:  17513940     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The timely onset of labor and birth is an important determinant of perinatal outcome. Prolonged (postterm) pregnancy--defined as delivery at or beyond 42 weeks' gestation--complicates 10% of all gestations and is associated with increased risks to both fetus (stillbirth, macrosomia, birth injury, meconium aspiration syndrome) and mother (cesarean delivery, severe perineal injury, postpartum hemorrhage). The risk of routine induction of labor (failed induction leading to cesarean delivery) in the era of cervical ripening is lower than previously reported. For these reasons, the authors favor a policy of routine induction of labor for low-risk pregnancies at 41 weeks' gestation.
Authors:
Errol R Norwitz; Victoria V Snegovskikh; Aaron B Caughey
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical obstetrics and gynecology     Volume:  50     ISSN:  0009-9201     ISO Abbreviation:  Clin Obstet Gynecol     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-05-21     Completed Date:  2007-07-03     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0070014     Medline TA:  Clin Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  547-57     Citation Subset:  IM    
Affiliation:
Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT 06520, USA. errol.norwitz@yale.edu
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Infant Mortality
Infant, Newborn
Labor, Induced*
Pregnancy
Pregnancy Outcome*
Pregnancy, Prolonged*
Risk Factors

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


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