Guidelines for the Management of Pregnancy at 41+0 to 42+0 Weeks

Delaney, Martina; Roggensack, Anne

doi:10.1016/s1701-2163(16)32945-0

Cited by 88 publications

(59 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…16 medical induction of labour in women at or beyond 41 weeks' gestation ("post-dates"), examined overall and within groups of women who did and did not have an early ultrasound; 17 and planned cesarean delivery performed at or beyond 39 weeks' gestation, for fetuses in breech position. Families often choose to have a planned cesarean delivery and it is advised that planned cesareans should not be scheduled for earlier than the 39th week 18 (unless clinically indicated) to reduce newborn respiratory distress and other morbidities.…”

Section: Outcome Measuresmentioning

confidence: 99%

Differences in obstetric care among nulliparous First Nations and non–First Nations women in British Columbia, Canada

Riddell

Hutcheon

Dahlgren

2015

CMAJ

View full text Add to dashboard Cite

Research CMAJ, February 2, 2016, 188(2) E37Abstract Database 6 using the maternal personal health number to combine information on maternal characteristics and obstetric service outcomes. This registry is a quality-controlled population database containing abstracted medical chart information from more than 99% of deliveries in the province. A recent validation study showed high validity of many variables in this analysis. 7 The Discharge Abstract Database has been previously validated for perinatal data. 8 Using the maternal personal health number, we linked these data to the First Nations Client File, which is a cohort of First Nations people who are found in Aboriginal Affairs and Northern Development Canada's Indian Registry System, and their descendants who may be eligible to register. 9 The last linkage was to a geographic database that encoded the distance between the centre of the maternal residential postal code and the closest hospital with planned obstetric services, according to highway networks, in kilometres. This database also classified maternal postal code as either urban or rural (Appendix 1, available at www.cmaj.ca/ lookup/suppl/doi:10.1503/cmaj.150223/-/DC1).The British Columbia Vital Statistics Agency, British Columbia Ministry of Health, Perinatal Services BC, and the Data and Information Planning Committee (which provides stewardship over the First Nations Client File) approved access to and use of the data facilitated by Population Data British Columbia for this study. The study was approved by the University of British Columbia and British Columbia Children's and Women's Hospital research ethics boards. This project follows the Canadian Institutes of Health Research guidelines for research involving Aboriginal people 10 and is carried out in collaboration with the Maternal/Child Health Group of the First Nations Health Authority. Outcome measuresNo universally agreed upon indicators of quality obstetric care currently exist. 11 Because our interest was in exploring differences in care processes, we identified process indicators that are aligned with best practice guidelines set by the Society of Obstetricians and Gynaecologists of Canada and that reflect services provided as part of standard care.We identified the following indicators of care: group B streptococcus testing and antibiotic use by those women with positive test results among deliveries at or beyond 37 weeks' gestation; 12 at least 4 primary care antenatal visits in pregnancies in which delivery occurred at or beyond 39 weeks' gestation (although there is no optimal number of visits, the World Health Organization recommends that women have at least 4 visits during pregnancy); 13 ultrasonography before 20 weeks' gestation (the Society of Obstetricians and Gynaecologists of Canada recommends "pregnant women should be offered a routine second trimester ultrasound" and has recently stated that, ideally, all women should be offered first-trimester ultrasonography for pregnancy dating); 14,15 medical induction of labour a...

show abstract

Section: Outcome Measuresmentioning

confidence: 99%

Differences in obstetric care among nulliparous First Nations and non–First Nations women in British Columbia, Canada

Riddell

Hutcheon

Dahlgren

2015

CMAJ

View full text Add to dashboard Cite

show abstract

“…1 Approximately 5 to 10 percent continue to at least 42 week's gestation. 2 Post-term pregnancies are associated with numerous adverse outcomes.…”

Section: Introductionmentioning

confidence: 99%

A study of maternal and perinatal outcome in induction of labour at 40 weeks and 41 weeks of gestation

Patil

Dave

2016

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

“…The World Health Organization defines a post-term pregnancy as one that has extended to or beyond 42 weeks (294 days) of gestation. Resources and maternal wishes need to be considered when managing a prolonged pregnancy 12,13,14,15,16 . Prolonged pregnancy is associated with an increased risk of fetal and maternal complications 11,15 .…”

Section: Introductionmentioning

confidence: 99%

Maternal Outcome of Prolonged Pregnancy

Akhter

Sultana²,

Hoque

et al. 2015

J. Bangladesh Coll. Phys.

View full text Add to dashboard Cite

The probability of a pregnancy terminating in a full-term, healthy live birth is a powerful indicator of the health status of its women, and of the quality of health care available to them during pregnancy and birth. The present study conducted to find out the maternal outcome of prolonged pregnancy. This study carried out in the department of Mode of delivery of highest number of respondents was caesarian section (54.0%) followed by normal vaginal delivery (39.7%). Other mode of delivery were ventouse and forceps and they were 07(05.0%) and 2(1.4%) respectively. Out of 75 respondents under gone caesarian section, indication of C/S was fetal distress in 1 st stage of labour, prolong 1 st stage with maternal distress, failed induction, cephalopelvic disproportion (CPD) and breech presentation with big baby were 32.0%, 25.3%, 24.0%, 16.0% and 2.7% respectively. Maternal morbidity like PPH, UTI, puerperal sepsis and wound infection were 10.0%, 14.40%, 3.60% and 5.70% respectively. In postdated pregnancy maternal morbidity is common finding. It also has more operative interference.

show abstract

Guidelines for the Management of Pregnancy at 41+0 to 42+0 Weeks

Cited by 88 publications

References 56 publications

Differences in obstetric care among nulliparous First Nations and non–First Nations women in British Columbia, Canada

Differences in obstetric care among nulliparous First Nations and non–First Nations women in British Columbia, Canada

A study of maternal and perinatal outcome in induction of labour at 40 weeks and 41 weeks of gestation

Maternal Outcome of Prolonged Pregnancy

Contact Info

Product

Resources

About