Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/86987
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Type: | Journal article |
Title: | Labour and neonatal outcome in small for gestational age babies delivered beyond 36+0 weeks: a retrospective cohort study |
Author: | Boers, K. van der Post, J. Mol, B. van Lith, J. Scherjon, S. |
Citation: | Journal of Pregnancy, 2011; 2011:293516-1-293516-5 |
Publisher: | Hindawi Publishing Corporation |
Issue Date: | 2011 |
ISSN: | 2090-2735 2090-2735 |
Statement of Responsibility: | K. E. Boers, J. A. M. van der Post, Ben W. J. Mol, J. M. M. van Lith, and S. A. Scherjon |
Abstract: | Objective. Small for gestational age (SGA) is associated with increased neonatal morbidity and mortality. At present, evidence on whether these pregnancies should be managed expectantly or by induction is lacking. To get insight in current policy we analysed data of the National Dutch Perinatal Registry (PRN). Methods. We used data of all nulliparae between 2000 and 2005 with a singleton in cephalic presentation beyond 36+0 weeks, with a birth weight below the 10th percentile. We analysed two groups of pregnancies: (I) with isolated SGA and (II) with both SGA and hypertensive disorders. Onset of labour was related to route of delivery and neonatal outcome. Results. Induction was associated with a higher risk of emergency caesarean section (CS), without improvement in neonatal outcome. For women with isolated SGA the relative risk of emergency CS after induction was 2.3 (95% Confidence Interval [CI] 2.1 to 2.5) and for women with both SGA and hypertensive disorders the relative risk was 2.7 (95% CI 2.3 to 3.1). Conclusion. Induction in pregnancies complicated by SGA at term is associated with a higher risk of instrumental deliveries without improvement of neonatal outcome. Prospective studies are needed to determine the best strategy in suspected IUGR at term. |
Keywords: | Humans Fetal Growth Retardation Hypertension, Pregnancy-Induced Emergencies Birth Weight Pregnancy Outcome Cesarean Section Extraction, Obstetrical Labor, Induced Retrospective Studies Gestational Age Pregnancy Infant, Newborn Infant, Small for Gestational Age Netherlands Female |
Rights: | Copyright © 2011 K. E. Boers et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
DOI: | 10.1155/2011/293516 |
Published version: | http://dx.doi.org/10.1155/2011/293516 |
Appears in Collections: | Aurora harvest 2 Obstetrics and Gynaecology publications |
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hdl_86987.pdf | Published version | 115.18 kB | Adobe PDF | View/Open |
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