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Created on : 17 Mar 2007
Modified on : 01 Dec 2007

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Bibliographical entry (without author) :

Conservative policy of induction of labour in uncomplicated postdated pregnancies. {Inde}. XVI FIGO World Congress of Obstetrics & Gynecology; 2000 Sept 3-8; Washington DC, USA (Book 3). 2000:62.

Author(s) :

Chakravarti S, Goenka B.

Year of publication :

2000

URL(s) :

Résumé (français)  :

Abstract (English)  :

Objectives : To assess the outcome of induction of labour after completing 42 weeks of gestation in uncomplicated postdated pregnancies as opposed to the established policy of routine induction within 41 weeks.

Study methods : Over a period of one year, 231 primigravidae fulfilled the selection criteria of low risk, uncomplicated post dated pregnant patient with confirmed dates. 117 of these patients were randomly allocated to the study group. The remaining 114 patients were managed as per established protocol of induction within 41 weeks of pregnancy. In the study group, fetal surveillance was done by daily fetal movement count (DFMC) and biophysical profile (BPP) and ultrasonography (USG). Patients undelivered at 42 weeks of gestation were induced following cervical ripening, if indicated, by prostaglandin E2 gel.

Results : 54 patients out of 117 (46%) had spontaneous onset of labor during the period of study and the rest had to be induced. 94 (84%) patients achieved vaginal delivery, 48 in the spontaneous onset group and 46 in the induced group. 8 patients were delivered by forceps and 20 patients underwent cesarean section. Neonatal mortality and morbidity were unaltered in this group of 231 patients.

Conclusions : If DFMC and fetal BPP by USG are unsatisfactory, one may well wait until 42 completed weeks in an otherwise uncomplicated postdated pregnancy even without the help of antenatal fetal cardiotocography. Furthermore, this policy helps in reducing the cesarean section rate.

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Keywords :

➡ c-section/caesarean ; induction of labor ; post-term pregnancy

Author of this record :

Cécile Loup — 17 Mar 2007