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Post Term at 40wks or less? From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca) Mon Jan 12 04:13:08 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "GEN: Rainy Night In Georgia" Previous message: Joanne Bulley, MD: "Re: Saliva testing" Next in thread: art fougner, md: "Re: Post Term at 40wks or less?" Reply: art fougner, md: "Re: Post Term at 40wks or less?" Here is a retrospective study that could form the basis for another large randomized trial. Obstet Gynecol. 2004 Jan;103(1):57-62. Related Articles, Links Complications of term pregnancies beyond 37 weeks of gestation. Caughey AB, Musci TJ. Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco. OBJECTIVE: To estimate when rates of pregnancy complications increase beyond 37 weeks of gestation. METHODS: We designed a retrospective, cohort study of all women delivered beyond 37 weeks of gestational age from 1992 to 2002 at a single community hospital. Rates of perinatal complications by gestational age were analyzed with both bivariate and multivariable analyses. Statistical significance was designated by P <.05. RESULTS: Among the 45,673 women who delivered at 37 completed weeks and beyond, the rates of meconium and macrosomia increased beyond 38 weeks of gestation (P <.001), the rates of operative vaginal delivery, chorioamnionitis, and endomyometritis all increased beyond 40 weeks of gestation (P <.001), and rates of intrauterine fetal death and cesarean delivery increased beyond 41 weeks of gestation (P <.001). CONCLUSION: Risks to both mother and infant increase as pregnancy progresses beyond 40 weeks of gestation. LEVEL OF EVIDENCE: II-3 -- Take care, John Next message: art fougner, md: "GEN: Rainy Night In Georgia" Previous message: Joanne Bulley, MD: "Re: Saliva testing" Next in thread: art fougner, md: "Re: Post Term at 40wks or less?" Reply: art fougner, md: "Re: Post Term at 40wks or less?"

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