| Title |
Labour induction in postdate pregnancy: when to start – at week 40 or 41 of gestation? / |
| Translation of Title |
Kada geriau sužadinti gimdymą - 40 ar 41-ą nėštumo savaitę? |
| Authors |
Paliulytė, Virginija ; Ramašauskaitė, Diana |
| DOI |
10.15388/amed.2010.21687 |
| Full Text |
|
| Is Part of |
Acta medica Lituanica.. Vilnius : Lietuvos mokslų akademija. 2010, vol. 17, no. 1-2, p. 11-16.. ISSN 1392-0138 |
| Keywords [eng] |
gestational age ; post-term pregnancy ; Caesarean delivery ; labour induction ; expectant management ; meconium-stained amniotic fluid |
| Abstract [eng] |
The mother and her newborn at 41 completed weeks tend to have a higher risk of oligohydramnios (10.4% vs 5.2%, p < 0.05; OR 0.5), umbilical cord rotation around the baby’s neck (57% vs 43%, p < 0.05; OR 0.7), meconium-stained amniotic fluid (27.4% vs 16.6 %, p < 0.05; OR 0.6), vacuum extraction rate (7.7% vs 3.1%, p < 0.05; OR 0.4), newborn acidosis (45.5 % vs 33.2%, p < 0.05; OR 0.73). When meconium-stained amniotic fluid is diagnosed at 41 completed weeks, the delivery should be monitored more intensively because of a higher risk of newborn acidosis after the labour. The mode of delivery, delivery duration, mother’s injuries, postpartum hemorrhage and complications, also Apgar scores show no significant differences in these groups. Conclusion. When delivery occurs at 41 competed weeks, the results are worse as compared to those of the delivery at 40 completed weeks. Therefore, it is reasonable to induce labour at 40 completed weeks and beyond of gestation. This suggestion requires large prospective studies and a very precise gestation time estimation for all pregnant women before recommending labour induction at 40 competed weeks. |
| Published |
Vilnius : Lietuvos mokslų akademija |
| Type |
Journal article |
| Language |
English |
| Publication date |
2010 |
| CC license |
|
