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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Description of this bibliographical database (AFAR website)
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https://afar.info/id=2010

Created on : 16 Mar 2007
Modified on : 15 Aug 2018

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Bibliographical entry (without author) :

Postterm with favorable cervix: is induction necessary ? {Thailande} Eur J Obstet Gynecol Reprod Biol. 2003 Feb 10;106(2):154-7.

Author(s) :

Chanrachakul B, Herabutya Y.

Year of publication :

2003

URL(s) :

https://www.ncbi.nlm.nih.gov/pubmed/12551783?dopt=…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: To study the cesarean rate between expectant management and immediate induction in the otherwise uncomplicated postterm pregnancy with favorable cervix.

STUDY DESIGN: A total of 249 women with uncomplicated pregnancies at 41 weeks plus 3 days (290 days) with favorable cervix (Bishop score > or =6) were randomized to either expectant management (n=125) or immediate induction of labor (n=124). The women in the induction group were sent to labor ward for induction by artificial rupture of membranes (ARM) and/or oxytocin infusion. The women with expectant management had nonstress test (NST) and amniotic fluid index (AFI) performed once a week and twice a week after 43 weeks of gestation until spontaneous labor.

RESULTS: The cesarean rate was not different between expectant management and immediate induction (21.6% versus 26.6%; P=0.36). Ninety-five percent of the expectant group delivered within 1 week after enrollment, and all of them delivered within 9 days after randomization. Maternal and fetal complications in both groups were not different. There was also no difference in the mean birth weight (P=0.24) and the frequency of macrosomia (birth weight > or = 4000 g) between the two groups (P=0.23).

CONCLUSION: Cesarean section rate between expectant management and immediate induction in the otherwise uncomplicated postterm pregnancy with favorable cervix was not different. Due to the very low adverse perinatal outcome, both expectant management and immediate induction are acceptable.

Sumário (português)  :

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Comments :

Argument (français) :

RCT. Aucun avantage ni désavantage particulier à déclencher à 41 SA + 3j sur col favorable plutôt que d’attendre en surveillant. Important : la quasi totalité des femmes du groupe expectative avaient accouché dans la semaine suivante.

Argument (English):

Argumento (português):

Keywords :

➡ c-section/caesarean ; induction of labor ; guidelines ; post-term pregnancy

Author of this record :

Cécile Loup — 16 Mar 2007
➡ latest update : Bernard Bel — 15 Aug 2018

Related records
Group ‘Discussing induction on term pregnancy
#2070   Hannah ME, Hannah WJ, Hellmann J, Hewson S, Milner R, Willan A, and the Canadian Multicenter Post-term Pregnancy Trial Group. (1992). Induction of labor as compared with serial antenatal monitoring in post-term pregnancy. A randomized controlled trial. N Engl J Med 1992;326:1587–1592. ➡ https://afar.info/id=2070
#2069   Savas M. Menticoglou, Philip F. Hall (2002). Routine induction of labour at 41 weeks of gestation: nonsensus consensus. BJOG, 2002 May;109(5): 485-491 ➡ https://afar.info/id=2069
#2067   Bréart G, Goujard J, Maillard F, Chavigny C, Rumeau-Rouquette C, Sureau C. (1982). Comparaison de deux attitudes obstétricales vis-à-vis du déclenchement artificiel du travail à terme. Essai randomisé. J Gynecol Obstet Biol Reprod (Paris). 1982;11(1):107-112. ➡ https://afar.info/id=2067
#2018   Roach VJ, Rogers MS. (1997). Pregnancy outcome beyond 41 weeks gestation. {Chine}. Int J Gynaecol Obstet. 1997 Oct;59(1):19-24. ➡ https://afar.info/id=2018
#2015   Goeree R, Hannah M, Hewson S. (1995). Cost-effectiveness of induction of labour versus serial antenatal monitoring in the Canadian Multicentre Postterm Pregnancy Trial. {Canada}. CMAJ. 1995 May 1;152(9):1445-50. ➡ https://afar.info/id=2015
Pinned by #2017   Gelisen O, Caliskan E, Dilbaz S, Ozdas E, Dilbaz B, Ozdas E, Haberal A. (2005). Induction of labor with three different techniques at 41 weeks of gestation or spontaneous follow-up until 42 weeks in women with definitely unfavorable cervical scores. {Turquie}. Eur J Obstet Gynecol Reprod Biol. 2005 Jun 1;120(2):164-9. ➡ https://afar.info/id=2017
Pinned by #2064   Francis P. J. M. Vrouenraets, MD, Frans J. M. E. Roumen, MD, PhD, Cary J. G. Dehing, BSt, Eline S. A. van den Akker, MD, Maureen J. B. Aarts, MD and Esther J. T. Scheve, MD (2005). Bishop Score and Risk of Cesarean Delivery After Induction of Labor in Nulliparous Women. Obstetrics & Gynecology 2005;105:690-697. ➡ https://afar.info/id=2064
Pinned by #2984   William A. Grobman, M. D., Madeline M. Rice, Ph. D., Uma M. Reddy, M. D., M. P. H., Alan T. N. Tita, M. D., Ph. D., Robert M. Silver, M. D., Gail Mallett, R. N., M. S., C. C. R. C., Kim Hill, R. N., B. S. N., Elizabeth A. Thom, Ph. D., Yasser Y. El-Sayed, M. D., Annette Perez-Delboy, M. D., Dwight J. Rouse, M. D., George R. Saade, M. D., Kim A. Boggess, M. D., Suneet P. Chauhan, M. D., Jay D. Iams, M. D., Edward K. Chien, M. D., Brian M. Casey, M. D., Ronald S. Gibbs, M. D., Sindhu K. Srinivas, M. D., M. S. C. E., Geeta K. Swamy, M. D., Hyagriv N. Simhan, M. D., and George A. Macones, M. D., M. S. C. E. (2018). Labor Induction versus Expectant Management in Low-Risk Nulliparous Women. N Engl J Med 2018; 379:513-523 ➡ https://afar.info/id=2984
Pinned by #3037   Cécile Loup, Emmanuelle Phan, Bernard Bel (2008). Le déclenchement systématique, une intervention anodine ? Note du CIANE suite aux RPC « Déclenchement artificiel du travail à partir de 37 semaines d’aménorrhée » publiées par la HAS en avril 2008. ➡ https://afar.info/id=3037
Pinned by #3038   Camille Le Ray (2017). Le déclenchement du travail en France Résultats de l’étude MEDIP (Méthodes de Déclenchement et Issues Périnatales). Etude financée par l’ANSM dans le cadre de l’appel d’offre jeunes chercheurs 2014. ➡ https://afar.info/id=3038
Pinned by #3039   Judy Slome Cohain (2018). Critique of Grobman etal. and the ARRIVE RCT to induce birth at 39 weeks. Conference: Midwifery Today, September. ➡ https://afar.info/id=3039
Discussion (display only in English)
15 Aug 2018 12:44[FR] Cette étude porte sur 249 femmes à 41 semaines d’aménorrhée. Le tirage au sort en a placé 124 dans le groupe « déclenchement » et 125 dans le groupe « surveillance ». Les déclenchements ayant été réalisés le jour même du tirage au sort, aucune femme n’a accouché spontanément avant l’intervention. Le résultat est un taux de césariennes de 27% pour le groupe « déclenchement » et 22% pour le groupe « surveillance ». Bien que ces taux soient significativement différents, avec un risque accru après déclenchement, le résumé affirme : « The cesarean rate was not different between expectant management and immediate induction ».
(Voir discussion méthodologique sur la page https://ciane.net/wiki/pmwiki.php?n=Ciane.DeclenchementSystematiqueBiais)
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Bernard Bel
 
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