Document Detail


Is it necessary to induce labor in cases of intrauterine growth restriction at term?
MedLine Citation:
PMID:  23104797     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Abstract Objectives: Infants with intrauterine growth restriction (IUGR) have increased morbidity and mortality. The decision whether to induce labor at term or to expectantly manage these pregnancies is controversial. The aim of this study was to assess the outcomes of these two management strategies in term pregnancies. Study design: This retrospective cohort study compared neonatal and maternal morbidity and mortality of IUGR fetuses (estimated fetal weight below the 10th percentile) between induced and spontaneous labors. Results: Records of 669 IUGR newborns were reviewed; 499 were delivered through spontaneous labor and 170 were delivered through induced labor. Epidemiology and early perinatal outcomes between the two groups were similar. The cesarean section rate was significantly higher (P<0.005) in the induced group. Conclusions: Expectant management for term IUGR pregnancies seems to be safe, with lower rates of cesarean deliveries. A large, prospective, randomized controlled trial with long-term neonatal follow-up is indicated.
Authors:
Tal Shavit; Eran Ashual; Rivka Regev; Dana Sadeh; Moshe D Fejgin; Tal Biron-Shental
Related Documents :
23279467 - Histological characterization and immunohistochemical localization of ki-67 and vegf fa...
8742617 - Establishment of the sulfated 3,3'-diiodothyronine radioimmunoassay and its application...
9101217 - Assessment of fetal thyroid function by colored doppler echography.
6685467 - Hyperthyroidism appearing as hyperemesis gravidarum.
8615567 - Sigmoid volvulus in pregnancy.
21375167 - Maternal risk factors in afghan-refugees compared to pakistani mothers in peshawar, nwf...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  40     ISSN:  1619-3997     ISO Abbreviation:  J Perinat Med     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-10-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  539-43     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  Survival and neonatal outcome after fetoscopic guided laser occlusion (FLOC) of twin-to-twin transfu...
Next Document:  Delayed interval delivery in twin and triplet pregnancies: 6 years of experience in one perinatal ce...