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Therapeutics
Induction of labour post-term or expectant management with serial fetal monitoring had similar neonatal outcomes

https://doi.org/10.1136/ebm.12.6.174

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    In women with a post-term pregnancy, does induction of labour improve neonatal outcomes more than expectant management?

    Heimstad R, Skogvoll E, Mattsson LA, et al. Induction of labor or serial antenatal fetal monitoring in postterm pregnancy: a randomized controlled trial. Obstet Gynecol 2007;109:609–17.

    Clinical impact ratings GP/FP/Obstetrics ★★★★★★⋆ Obstetrics ★★★★★★⋆

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    {concealed}*.†

    Embedded ImageBlinding:

    unblinded.†

    Embedded ImageFollow-up period:

    to 1 week after delivery or hospital discharge.

    Embedded ImageSetting:

    university hospital in Trondheim, Norway.

    Embedded ImagePatients:

    508 women (mean age 30 y) carrying a singleton pregnancy with cephalic presentation and no prelabour rupture of membranes at 289 days gestation (41wk and 2 d).

    Embedded ImageIntervention:

    immediate induction of labour (n = 254) or expectant management with fetal monitoring every 3 days until spontaneous …

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    Footnotes

    • Source of funding: no external funding.