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Re: Post Term at 40wks or less? From: art fougner, md (evsono@pipeline.com) Mon Jan 12 06:43:08 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: GEN: Rainy Night In Georgia" Previous message: art fougner, md: "GEN: Rainy Night In Georgia" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Post Term at 40wks or less?" John if perinatal mortality rates used the number of pregnancies left undelivered instead of live births - this rise in complications would be more striking. IMHO - the best antepartum is a postpartum. art At Mon, 12 Jan 2004, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > >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 > -- art fougner, md ich bin ein New Yorker Next message: DoctorJoe@aol.com: "Re: GEN: Rainy Night In Georgia" Previous message: art fougner, md: "GEN: Rainy Night In Georgia" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Post Term at 40wks or less?"

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