Re: A case

From: Robert J Woolley (wooll005@gold.tc.umn.edu)
Mon Dec 2 14:24:41 1996


On Mon, 2 Dec 1996, John Robertson wrote:

> I realize I am splitting hairs, but there is a difference between post
> dates and post term. Post dates means over 40 weeks completed gestation,
> post term means over 42 weeks completed gestation. If you read the

Hmmm. I don't recall hearing this definition of "postdates" before. Any published source for this? >

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.
>

Although it has been a couple of years since I read that paper, I'm quite confident that that was *not* the recommendation. My recollection is that they enrolled patients at 41 weeks, then tried monitor vs. induction, and found no significant difference in fetal outcome. There were more c-sections in the observed group than the induced group, but the authors took some pains to point out that a cause-and-effect connection could not be inferred, since it was very likely that attending physicians had a lower threshold of sectioning in the latest gestations.

But perhaps you could find and quote the article where the authors make the "recommendation" you allege. I am highly skeptical of your claim, frankly.





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Wed Dec 2 05:17:59 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.