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J M Nicholson
Dr J M Nicholson, University of Pennsylvania, Philadelphia, PA, USA; email@example.com
randomised controlled trial (RCT).
3 centres in Philadelphia, Pennsylvania, USA.
281 pregnant women (mean age 23 y, 88% African-American) who remained undelivered at 37 weeks 4 days of gestation and had ⩾1 of 6 risk factors for caesarean delivery: age ⩾35 years, height ⩽157 cm, body mass index ⩾30 kg/m2, blood pressure elevation or anaemia in the first trimester, or history of a large fetus. Exclusion criteria included multiple gestation, previous caesarean delivery, placenta previa, HIV infection, and contraindication to labour.
women were managed in late pregnancy according to the active management of risk in pregnancy at term (AMOR-IPAT) method (n = 136) or usual care (n = 134). AMOR-IPAT involves 3 steps: (1) a risk scoring system to …
Source of funding: National Institute of Child Health and Human Development and First Hospital Foundation.