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Re: Induction for post term From: art fougner, md (evsono@pipeline.com) Wed Jun 13 21:20:39 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: Paragard vs Mirena" Previous message: Rafael Haciski: "Re: Depo-Provera" In reply to: DoctorJoe@aol.com: "Re: Induction for post term" Next in thread: Garry E. Siegel, M.D.: "Re: Induction for post term" Joe Here's another way to look at this - Eur J Obstet Gynecol Reprod Biol. 1993 Oct;51(2):97-101. Estimate of perinatal mortality risk. Lim ML, Elferink-Stinkens PM, Wallenburg HC, van Hemel OJ. Department of Obstetrics and Gynecology, Reinier de Graaf Teaching Hospital, Delft, The Netherlands. Perinatal mortality is usually calculated according to the World Health Organisation as stillbirth and first week mortality at a specified week of gestation divided by all births at that same gestational week. This is not a meaningful indicator of the risk of future perinatal death for a living fetus. We have developed an approach to estimate the prospective risk of perinatal mortality. Data were derived from the Perinatal Database of the Netherlands. We calculated the prospective risk of perinatal mortality by dividing all future perinatal deaths from a certain week of gestation by all fetuses that remained undelivered. Using this statistic there is a decline in risk from 16 to 39 gestational weeks and an increase from 39 weeks onwards. Art At Wed, 13 Jun 2007, DoctorJoe@aol.com wrote: > >In a message dated 6/13/07 12:37:55 PM, agfolley@hotmail.com writes: > >> What are you saying, Joe, that there is higher incidence of fetal morbidity >> and mortaility at 41 than 40 weeks? agf >> >No. The J-shaped curve has its nadir at 41-41.5 (decimal) weeks or so and >then starts to rise. So after 41 weeks, things start to go south again, just has >they go bad BEFORE 41 weeks. > >The philosophy I have is, at 41 weeks start "talking" about NSTs and >inductions and stuff. By the time you get things moving, you're past 41.5 weeks and >you're doing the right thing. > >Joe P. > >-- >************************************** > -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: Joanne Bulley, MD: "Re: Paragard vs Mirena" Previous message: Rafael Haciski: "Re: Depo-Provera" In reply to: DoctorJoe@aol.com: "Re: Induction for post term" Next in thread: Garry E. Siegel, M.D.: "Re: Induction for post term"

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