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Re: A caseFrom: John Robertson (jgmr@unixg.ubc.ca)Tue Dec 3 14:18:08 1996
---------- > From: Robert J Woolley <wooll005@gold.tc.umn.edu> > To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> > Subject: Re: A case > Date: Monday, December 02, 1996 1:24 PM > > Hmmm. I don't recall hearing this definition of "postdates" before. Any > published source for this? I thought I did, but I don't. It is certainly possible that it is something taught in residency that I did not check in the literature. I am still looking.
> But perhaps you could find and quote the article where the authors make NEJM June 11 1992 pp1587 - 1592 In the abstract: Conclusions: In post-term pregnancy, the induction of labour results in a lower rate of cesarean section than serial antenatal monitoring ... in the discussion: If anything therefore, a policy of inducing labor in post-term pregnancy may decrease the perinatal mortality rate. In a SOGC Committee Opinion (simmilar to ACOG committee opinions) (Principle author Mary Hannah, same as the NEJM article) Summary: Women who reach 41 weeks gestation should be appropriately counselled regarding the higher risk to themselves and to their babies if they should pursue a policy of expectant management. These results suggest that a policy of induction is, in general, to be preferred. So, does the skeptic counsel his patients that they are at higher risk if they are managed expectantly over 41 weeks? J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C., Canada, V2P 3M9 (604) 793-9988 e-mail jgmr@unixg.ubc.ca The best we can do for one another is to exchange our thoughts freely; and that, after all, is about all. James A. Froude (1818-1894)
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