When to induce late term pregnancies

Kenyon, Sara; Middleton, LJ; Skrybant, Magdalena; Johnston, Tracey

doi:10.1136/bmj.l6486

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…Commenting in a linked editorial,2 maternity experts said, “Choice is important within maternity care, and clear information about available options should be accessible to all pregnant women, enabling them to make fully informed and timely decisions . .…”

Section: Higher Perinatal Mortalitymentioning

confidence: 99%

Inducing labour at 41 weeks may be safer than “wait and see” approach, study finds

Mahase¹

2019

BMJ

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Section: Higher Perinatal Mortalitymentioning

confidence: 99%

Inducing labour at 41 weeks may be safer than “wait and see” approach, study finds

Mahase¹

2019

BMJ

View full text Add to dashboard Cite

Pregnancy health in a multi-state U.S. population of systemically underserved patients and their children: PROMISE cohort design and baseline characteristics

Boone-Heinonen,

Lyon-Scott,

Springer

et al. 2024

BMC Public Health

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Background Gestational weight gain (GWG) is a routinely monitored aspect of pregnancy health, yet critical gaps remain about optimal GWG in pregnant people from socially marginalized groups, or with pre-pregnancy body mass index (BMI) in the lower or upper extremes. The PROMISE study aims to determine overall and trimester-specific GWG associated with the lowest risk of adverse birth outcomes and detrimental infant and child growth in these underrepresented subgroups. This paper presents methods used to construct the PROMISE cohort using electronic health record data from a network of community-based healthcare organizations and characterize the cohort with respect to baseline characteristics, longitudinal data availability, and GWG. Methods We developed an algorithm to identify and date pregnancies based on outpatient clinical data for patients 15 years or older. The cohort included pregnancies delivered in 2005–2020 with gestational age between 20 weeks, 0 days and 42 weeks, 6 days; and with known height and adequate weight measures needed to examine GWG patterns. We linked offspring data from birth records and clinical records. We defined study variables with attention to timing relative to pregnancy and clinical data collection processes. Descriptive analyses characterize the sociodemographic, baseline, and longitudinal data characteristics of the cohort, overall and within BMI categories. Results The cohort includes 77,599 pregnancies: 53% had incomes below the federal poverty level, 82% had public insurance, and the largest race and ethnicity groups were Hispanic (56%), non-Hispanic White (23%) and non-Hispanic Black (12%). Pre-pregnancy BMI groups included 2% underweight, 34% normal weight, 31% overweight, and 19%, 8%, and 5% Class I, II, and III obesity. Longitudinal data enable the calculation of trimester-specific GWG; e.g., a median of 2, 4, and 6 valid weight measures were available in the first, second, and third trimesters, respectively. Weekly rate of GWG was 0.00, 0.46, and 0.51 kg per week in the first, second, and third trimesters; differences in GWG between BMI groups were greatest in the second trimester. Conclusions The PROMISE cohort enables characterization of GWG patterns and estimation of effects on child growth in underrepresented subgroups, ultimately improving the representativeness of GWG evidence and corresponding guidelines.

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When to induce late term pregnancies

Abstract: 41 weeks looks like the safer option for women and their babies

Cited by 2 publications

References 5 publications

Inducing labour at 41 weeks may be safer than “wait and see” approach, study finds

Inducing labour at 41 weeks may be safer than “wait and see” approach, study finds

Pregnancy health in a multi-state U.S. population of systemically underserved patients and their children: PROMISE cohort design and baseline characteristics

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