Elective Induction of Labor at 39 Weeks of Gestation: A Prospective Randomized Trial.
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Accession number;99A0225425
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| Title;Elective Induction of Labor at 39 Weeks of Gestation: A Prospective Randomized Trial. |
| Author;
AMANO K
(Kitasato Univ., Kanagawa, Jpn)
SAITO K
(Kitasato Univ., Kanagawa, Jpn)
SHODA T
(Kitasato Univ., Kanagawa, Jpn)
TANI A
(Kitasato Univ., Kanagawa, Jpn)
YOSHIHARA H
(Kitasato Univ., Kanagawa, Jpn)
NISHIJIMA M
(Kitasato Univ., Kanagawa, Jpn)
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Journal Title;J Obstet Gynaecol Res
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Journal Code:Y0696A
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ISSN:1341-8076
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VOL.25;NO.1;PAGE.33-37(1999)
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| Figure&Table&Reference;FIG.2, TBL.6, REF.5 |
| Pub. Country;Japan |
| Language;English |
| Abstract;Objective: To clarify the safety of elective induction of labor at 39 weeks of gestation. Study design: Prospective randomized study. Subjects and methods: Uncomplicated nulliparas (N=194) were randomly assigned at 36 weeks of gestation. Labor was electively induced in 63 women at 39 weeks of gestation in the active management group (I group, N=98). Spontaneous labor onset was expected with semi-weekly nonstress test (NST) and amniotic fluid index (AFI) by 42 weeks of gestation in the expectant group (E group, N=96). Perinatal events were compared between the 2 groups. Results: A significantly higher incidence of meconium-stained amnios (19.4% vs 3.2%) and fetal resuscitation (16.7% vs 4.8%) was found in the E group than in the I group. Also, although a significantly higher incidence of epidural analgesia was noted in the I group (89%) than in the E group (54%) (labor onset .GEQ. 39 weeks, N=72), the duration of the 1st stage was shorter in I group and the duration of the 2nd stage was not significantly different. No other significant difference was noted between the 2 groups in terms of the rate of C-section, blood loss, incidence of pathological FHR, birth weight, Apgar score, umbilical arterial pH, or admission to NICU. Conclusion: Active management of labor at 39 weeks could be made as safely as expectant management with modified biophysical profile monitoring. (author abst.) |
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