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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
Statement of
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.
RMID: 0020136832
DOI: 10.1155/2011/293516
Appears in Collections:Obstetrics and Gynaecology publications

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