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Re: A case From: Jason Gardosi (jason.gardosi@nottingham.ac.uk) Mon Dec 2 12:45:58 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert J Woolley: "Re: A case" Previous message: Ira Mark Bernstein: "Re: Vitamins in Pregnancy" Maybe in reply to: Sing-Hung Chang: "A case" Next in thread: Richard Chudacoff, MD: "Re: A case" At 10:35 02/12/96 -0600, John Robertson <jgmr@unixg.ubc.ca> wrote: > <snip> ... If you read the >Multicentre Trial on Induction vs Monitoring of patients over 41 weeks (I >used to call it the Canadian study until someone pointed out that there >were other international sites involved), the recommendations are for >induction of ALL patients over 41 weeks. > This was indeed the claim, because there were more caesarean sections in the 'monitoring' group. However a third of these were induced anyway, for various reasons and according to the protocol this group was ineligible to receive prostin for ripening the cervix. Also, the increase in CS was for 'distress' only, not for dystocia and could be simply due to a different threshold for intervention in a study which by nature cannot be 'blind'. Not a good trial to base induction protocols on - even if an RCT involving lots of centres. In any case at over 41+ weeks it is more likely that a pregnancy is misdated than really that far post dates (see our abstract in Ultrasound Obstet Gynecol 1996;8:Suppl 1, p 212). This does not alter the fact that the case which started this thread ought to be delivered, IMHO. Jason ************************************************* Jason Gardosi MD FRCS MRCOG PRAM (Perinatal Research, Audit & Monitoring) -- Queen's Medical Centre, Nottingham NG7 2UH, U.K. Tel +44 115 9709211 Fax +44 115 9709791 http://www.ccc.nottingham.ac.uk/~mgzobgyn/PRAM/ Next message: Robert J Woolley: "Re: A case" Previous message: Ira Mark Bernstein: "Re: Vitamins in Pregnancy" Maybe in reply to: Sing-Hung Chang: "A case" Next in thread: Richard Chudacoff, MD: "Re: A case"

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