Document Detail

Screening for fetal and neonatal risk in the postdate pregnancy.
MedLine Citation:
PMID:  677187     Owner:  NLM     Status:  MEDLINE    
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.
J M Schneider; R W Olson; L B Curet
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  131     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1978 Jul 
Date Detail:
Created Date:  1978-09-15     Completed Date:  1978-09-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  473-8     Citation Subset:  AIM; IM    
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MeSH Terms
Cesarean Section
Estriol / urine
Fetal Death / epidemiology
Fetal Heart / physiopathology
Fetal Monitoring
Heart Rate
Infant Mortality
Infant, Newborn
Infant, Newborn, Diseases / epidemiology
Labor, Obstetric
Oxytocin / diagnostic use
Placenta Diseases / diagnosis
Pregnancy, Prolonged*
Reg. No./Substance:
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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