Re: RCT supports expectant management 42 wks

From: andrelat@vega.ivic.qc.ca
Sun Dec 27 07:56:24 1998


At 12:05 98-12-26 -0600, you wrote: >I have been using Flamm's criteria, @ 41 weeks NST, 41.3-4 NST +AFI, induce
>@ 42. If the Biships score is good prior to 42 weeks ok to induce. Eeven
>with this will have increased meconium in the amniotic fluid etc. The later
>the dates the increased probablity of problems. Using the above criteria
>have allowed more vaginal deliveries.
>Myer

In my practice, I begin long stress test at 41 3/7 weeks. If there is no labor, another stress test at 41 5/7 weeks and so on each two days.

I had almost never post term over 42 weeks and a cesarean rate of 8%.

Dr Paul-André Latulippe MD FRCCP(s) Ob/Gyn 111 Rang 9 St-Christophe d'Arthabaska Québec,Canada G6P 6S1

andrelat@ivic.qc.ca

tel:(819) 357-1784





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