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OB: ACOG - get going on that cytotec bulletin already! From: art fougner, md (evsono@pipeline.com) Mon Oct 30 11:34:20 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Kaycnm@aol.com: "Re: VBAC" Previous message: art fougner, md: "OB: AMA just got younger" another report in favor of 41 and out in the November Green Journal. Post-term induction of labor revisited Larry Rand, MD,a Julian N. Robinson, MD,a Katherine E. Economy, MD,a and Errol R. Norwitz, MD, PhDa -------------------------------------------------------------------------------- Post-term pregnancy (longer than 42 weeks or 294 days) occurs in -------------------------------------------------------------------------------- approximately 10% of all singleton gestations. The adverse outcomes of -- -------------------------------------------------------------------------------- post-term pregnancy include a substantial increase in perinatal mortality and morbidity. ACOG currently recommends induction of labor for low-risk pregnancy during the 43rd week of gestation. However, that recommendation dates from 1989. Recent reports mandate reconsideration of the management of post-term pregnancy, including reinterpretation of the statistical risk of stillbirth in post-term pregnancies using ongoing (undelivered) rather than delivered pregnancies as the denominator, which shows a far higher risk to post-term fetuses than believed. Recent data also suggest that the risk of cesarean delivery after induction of labor at term is lower than reported, possibly because of improvements in methods for cervical ripening. Those findings provide rationale for earlier labor induction in low-risk pregnancies. aDepartment of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA (Obstet Gynecol 2000:96:779-783. © 2000 by The American College of Obstetricians and Gynecologists.) -------------------------------------------------------------------------------- art -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Kaycnm@aol.com: "Re: VBAC" Previous message: art fougner, md: "OB: AMA just got younger"

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