| Screening for fetal and neonatal risk in the postdate pregnancy. | |
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MedLine Citation:
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PMID: 677187 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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One hundred four postdate pregnancies were managed according to a well-defined protocol calling for weekly oxytocin challenge tests and urinary estriols three times per week. Although the perinatal mortality rate in these patients was not increased there was a significant increase in the incidence of neonatal morbidity and complications. The clinical syndrome of dysmaturity was seen in 20 per cent of the neonates. When meconium was present in the amniotic fluid the incidence of neonatal and fetal complications was higher. The cesarean section rate was twice the normal rate, with nonprogression of labor being the commonest indication. It is recommended that: (1) pregnancies carried beyond 42 weeks do not require termination simply because they are post dates; (2) all postdate patients should be monitored during labor; (3) trained personnel to initiate neonatal resuscitation should be present at each postdate delivery. |
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Authors:
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J M Schneider; R W Olson; L B Curet |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 131 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 1978 Jul |
Date Detail:
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Created Date: 1978-09-15 Completed Date: 1978-09-15 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 473-8 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Amniocentesis Cesarean Section Estriol / urine Female Fetal Death / epidemiology Fetal Heart / physiopathology Fetal Monitoring Heart Rate Humans Infant Mortality Infant, Newborn Infant, Newborn, Diseases / epidemiology Labor, Obstetric Meconium Oxytocin / diagnostic use Placenta Diseases / diagnosis Pregnancy Pregnancy, Prolonged* Risk |
| Chemical | |
Reg. No./Substance:
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50-27-1/Estriol; 50-56-6/Oxytocin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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