Routine induction of labour at 41 weeks gestation: nonsensus consensus

Menticoglou, S

doi:10.1016/s1470-0328(02)01004-2

Cited by 16 publications

(22 citation statements)

References 13 publications

(19 reference statements)

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“…These findings, similar to those of another meta-analysis, (81) suggest that routine induction at 41 weeks' gestation has fetal benefit without incurring additional maternal risks because of a higher rate of cesarean delivery (28). However, this conclusion has not been universally accepted (82). One component of the concern regarding induction of labor is a large quantity of retrospective studies that demonstrate higher rates of cesarean delivery in the induced patients (83,84).…”

Section: Cervical Examsupporting

confidence: 72%

Postterm Pregnancy: How Can We Improve Outcomes?

Caughey¹,

Snegovskikh²,

Norwitz³

2008

Obstetrical &Amp; Gynecological Survey

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Section: Cervical Examsupporting

confidence: 72%

Postterm Pregnancy: How Can We Improve Outcomes?

Caughey¹,

Snegovskikh²,

Norwitz³

2008

Obstetrical &Amp; Gynecological Survey

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“…22 The actual risk of stillbirth during the 41st week (41-0/7 to 41-6/7) was 1.04 to 1.27 per 1000 undelivered women compared with 1.55 to 3.10 at or beyond 42 weeks. 23 These findings, similar to those of other meta-analyses, 24 suggest that routine induction at 41 weeks' gestation has fetal benefit without incurring additional maternal risks due to a higher rate of cesarean delivery. However, this conclusion has not been universally accepted.…”

Section: Favorability Of the Cervixsupporting

confidence: 76%

“…However, this conclusion has not been universally accepted. 23 An improved ability to identify women who will have a successful induction of labor would allow obstetric care providers to better individualize their recommendations. For example, some but not all studies have shown that elevated levels of fetal fibronectin in cervicovaginal secretions at term are predictive of a shorter interval until delivery and a successful induction of labor, even in nulliparas with an unfavorable cervical examination.…”

Section: Favorability Of the Cervixmentioning

confidence: 99%

Prolonged Pregnancy:

Norwitz

Snegovskikh

Caughey

2007

Clinical Obstetrics &Amp; Gynecology

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The timely onset of labor and birth is an important determinant of perinatal outcome. Prolonged (postterm) pregnancy--defined as delivery at or beyond 42 weeks' gestation--complicates 10% of all gestations and is associated with increased risks to both fetus (stillbirth, macrosomia, birth injury, meconium aspiration syndrome) and mother (cesarean delivery, severe perineal injury, postpartum hemorrhage). The risk of routine induction of labor (failed induction leading to cesarean delivery) in the era of cervical ripening is lower than previously reported. For these reasons, the authors favor a policy of routine induction of labor for low-risk pregnancies at 41 weeks' gestation.

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“…Women in the induction group underwent cesarean delivery significantly less frequently than the women who were expectantly managed (21.2 vs. 24.5%, respectively; P ¼ 0.003), due primarily to a lower rate of cesarean delivery for nonreassuring fetal heart rate tracings in the induction group. Moreover, the prospective risk of stillbirth between 41 and 42 weeks has been shown to be significantly lower than that at or beyond 42 (1.04-1.27 vs. 1.55-3.10 per 1000 undelivered women, respectively) [37]. Routine induction at 41 weeks has also been associated with a lower rate of perinatal mortality [odds ratio (OR), 0.2; 95% confidence interval (CI), 0.06-0.70] and no increase in cesarean delivery rate (OR, 1.02; 95% CI, 0.75-1.38) [29].…”

Section: Cervical Examinationmentioning

confidence: 98%