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Is it necessary to induce labor in cases of intrauterine growth restriction at term?
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Published/Copyright:
July 13, 2012
Abstract
Objectives: Infants with intrauterine growth restriction (IUGR) have increased morbidity and mortality. The decision whether to induce labor at term or to expectantly manage these pregnancies is controversial. The aim of this study was to assess the outcomes of these two management strategies in term pregnancies.
Study design: This retrospective cohort study compared neonatal and maternal morbidity and mortality of IUGR fetuses (estimated fetal weight below the 10th percentile) between induced and spontaneous labors.
Results: Records of 669 IUGR newborns were reviewed; 499 were delivered through spontaneous labor and 170 were delivered through induced labor. Epidemiology and early perinatal outcomes between the two groups were similar. The cesarean section rate was significantly higher (P<0.005) in the induced group.
Conclusions: Expectant management for term IUGR pregnancies seems to be safe, with lower rates of cesarean deliveries. A large, prospective, randomized controlled trial with long-term neonatal follow-up is indicated.
Received: 2011-8-6
Revised: 2012-4-14
Accepted: 2012-4-26
Published Online: 2012-07-13
Published in Print: 2012-09-01
©2012 by Walter de Gruyter Berlin Boston
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Keywords for this article
Induction of labor;
intrauterine growth restriction (IUGR);
term pregnancy
Articles in the same Issue
- Masthead
- Masthead
- Original Articles – Obstetrics
- Intravenous iron treatment in pregnancy: comparison of high-dose ferric carboxymaltose vs. iron sucrose
- Trophoblastic progranulin expression is upregulated in cases of fetal growth restriction and preeclampsia
- Can a customized standard for large for gestational age identify women at risk of operative delivery and shoulder dystocia?
- Can discordance in CRL at the first trimester predict birth weight discordance in twin pregnancies?
- Anxiety and deterioration of quality of life factors associated with recurrent miscarriage in an observational study
- Neonatal outcome in infants of patients with radical vaginal trachelectomy
- The prevalence of gestational diabetes in advanced economies
- First-trimester reference ranges for decidual thickness and its relation to progesterone levels
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- Levels of cytokines in umbilical cord blood in relation to spontaneous term labor
- Survival and neonatal outcome after fetoscopic guided laser occlusion (FLOC) of twin-to-twin transfusion syndrome (TTTS) in Sweden
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