291: Induction of labor: Maternal and neonatal complications by gestational age

2007 ◽  
Vol 197 (6) ◽  
pp. S91
Author(s):  
Anjali Kaimal ◽  
James Nicholson ◽  
Yvonne Cheng ◽  
Deirdre Lyell ◽  
A. Eugene Washington ◽  
...  
Keyword(s):  
Gestational Age ◽  
Induction Of Labor ◽  
Neonatal Complications

Perinatal Outcome and its Prediction Using Longitudinal Feto-Maternal Doppler Follow-Up in Late Onset Small for Gestational Age Fetuses – A Prospective Cohort Study

2021 ◽  
Author(s):  
Silvia M. Lobmaier ◽  
Oliver Graupner ◽  
Javier U. Ortiz ◽  
Bernhard Haller ◽  
Christina Ried ◽  
...  
Keyword(s):  
Gestational Age ◽  
Small For Gestational Age ◽  
Prospective Cohort ◽  
Perinatal Outcome ◽  
Late Onset ◽  
Induction Of Labor ◽  
University Hospital ◽  
Operative Delivery ◽  
Longitudinal Measurements ◽  
Cesarean Delivery Rate

Abstract Purpose To describe the perinatal outcome of a prospective cohort of late-onset small-for-gestational-age (SGA) fetuses and to test adverse perinatal outcome (APO) prediction using Doppler measurements. Methods Singleton pregnancies from 32 weeks with suspicion of SGA (followed-up each 2 weeks) and randomly selected healthy controls at a university hospital were included. The whole SGA group was divided into the FGR subgroup or SGA percentile 3–10 subgroup. The following Doppler measurements were evaluated prospectively: umbilical artery (UA) pulsatility index (PI), middle cerebral artery (MCA) PI, cerebro-placental ratio (CPR), and mean uterine artery (mUtA) PI. APO was defined as arterial cord blood pH ≤ 7.15 and/or 5-minute Apgar ≤ 7 and/or emergency operative delivery and/or admission to the neonatal unit. Induction of labor was indicated according to a stage-based protocol. Results A total of 149 SGA and 143 control fetuses were included. The number of operative deliveries was similar between both groups (control: 29 %, SGA: 28 %), especially the cesarean delivery rate after the onset of labor (11 % vs. 10 %). Most SGA cases ended up in induction of labor (61 % vs. 31 %, p < 0.001). The areas under the curve (AUC) for APO prediction were similar using the last UA PI, MCA PI, CPR, and mUtA PI and barely reached 0.60. The AUC was best for the FGR subgroup, using the minimal CPR or maximum mUtA PI z-score of all longitudinal measurements (AUC = 0.63). Conclusion SGA fetuses do not have a higher rate of operative delivery if managed according to a risk stratification protocol. Prediction of APO is best for SGA and FGR using the “worst” CPR or mUtA PI but it remains moderate.

scholarly journals Pregnancy Outcome of Twin Pregnancy at Gandaki Medical College Teaching Hospital, Pokhara, Nepal

2018 ◽  
Vol 11 (02) ◽  
pp. 1-4
Author(s):  
M Tripathi ◽  
R Shrestha
Keyword(s):  
Preterm Delivery ◽  
Teaching Hospital ◽  
Gestational Age ◽  
Twin Pregnancy ◽  
College Teaching ◽  
Neonatal Morbidity ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Neonatal Complications ◽  
Twin Pregnancies

Objectives: To evaluate maternal and neonatal complications and pregnancy outcomes of twin pregnancies. Methods: The cross sectional study was conducted using retrospective data on the twin pregnancies with more than 28 weeks of gestational age. The study used data over a period of five years, from March 10, 2010 to March 9, 2015 in the Department of Obstetrics and Gynecology, GMC Teaching Hospital Pokhara. Results: Of the 50 twin pregnancies, the most common maternal complication was preterm delivery (40%). Other maternal complications were anemia (36%), pregnancy induced hypertension (14%), premature rupture of membranes (14%), postpartum hemorrhage (12%) and antepartum hemorrhage (6%). Median gestational age at delivery was 37 weeks. Most common route of delivery was cesarean section (66%). Most common neonatal complication was low birth weight (48%) births first twin and second twin 56%. Conclusion: Twin pregnancy has high maternal and neonatal complications, especially preterm delivery that increases the risk of significant neonatal morbidity and mortality.

scholarly journals Induction of labor in pregnancies with small-for-gestational age - does the method affect pregnancy outcome?

2022 ◽  
Vol 226 (1) ◽  
pp. S609-S610
Author(s):  
Sophia Leytes ◽  
Alina Keizman ◽  
Kira Nahum Sacks ◽  
Lilia Tamayev ◽  
Jacob Bar ◽  
...  
Keyword(s):  
Pregnancy Outcome ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Induction Of Labor

276: Elective induction of labor and outcomes by gestational age

2012 ◽  
Vol 206 (1) ◽  
pp. S134
Author(s):  
Aaron B. Caughey ◽  
James Nicholson ◽  
Anjali Kaimal ◽  
Sascha Dublin ◽  
Darios Getahun ◽  
...  
Keyword(s):  
Gestational Age ◽  
Induction Of Labor ◽  
Elective Induction

Prognostic Value of Cerebroplacental Ratio in Appropriate-for-Gestational-Age Fetuses Before Induction of Labor in Late-Term Pregnancies

2021 ◽  
Author(s):  
Javier U. Ortiz ◽  
Oliver Graupner ◽  
Sarah Flechsenhar ◽  
Anne Karge ◽  
Eva Ostermayer ◽  
...  
Keyword(s):  
Gestational Age ◽  
Neonatal Intensive Care ◽  
Predictive Performance ◽  
Induction Of Labor ◽  
Operative Delivery ◽  
Predictive Values ◽  
Cerebroplacental Ratio ◽  
Elective Induction ◽  
Appropriate For Gestational Age ◽  
Fetal Scalp

Abstract Purpose To evaluate the relationship between cerebroplacental ratio (CPR) and the need for operative delivery due to intrapartum fetal compromise (IFC) and adverse perinatal outcome (APO) in appropriate-for-gestational-age (AGA) late-term pregnancies undergoing induction of labor. The predictive performance of CPR was also assessed. Materials and Methods Retrospective study including singleton AGA pregnancies that underwent elective induction of labor between 41 + 0 and 41 + 6 weeks and were delivered before 42 + 0 weeks. IFC was defined as persistent pathological CTG or pathological CTG and fetal scalp pH < 7.20. Operative delivery included instrumental vaginal delivery (IVD) and cesarean section (CS). APO was defined as a composite of umbilical artery pH < 7.20, Apgar score < 7 at 5 minutes, and admission to the neonatal intensive care unit for > 24 hours. Results The study included 314 women with 32 (10 %) IVDs and 49 (16 %) CSs due to IFC and 85 (27 %) APO cases. Fetuses with CPR < 10th percentile showed a significantly higher rate of operative delivery for IFC (40 % (21/52) vs. 23 % (60/262); p = 0.008) yet not a significantly higher rate of APO (31 % (16/52) vs. 26 % (69/262); p = 0.511). The predictive values of CPR for operative delivery due to IFC and APO showed sensitivities of 26 % and 19 %, specificities of 87 % and 84 %, positive LRs of 2.0 and 1.2, and negative LRs of 0.85 and 0.96, respectively. Conclusion Low CPR in AGA late-term pregnancies undergoing elective induction of labor was associated with a higher risk of operative delivery for IFC without increasing the APO rate. However, the predictive value of CPR was poor.

Increased risk of neonatal complications or death among neonates born small for gestational age to mothers with gestational diabetes

2020 ◽  
Vol 159 ◽  
pp. 107971
Author(s):  
Beatriz Barquiel ◽  
Lucrecia Herranz ◽  
Nuria Martínez-Sánchez ◽  
Cristina Montes ◽  
Natalia Hillman ◽  
...  
Keyword(s):  
Gestational Diabetes ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Neonatal Complications ◽  
Increased Risk

284: Is the recent trend in elective induction of labor modified by race/ethnicity and gestational age at delivery?

2012 ◽  
Vol 206 (1) ◽  
pp. S137
Author(s):  
Darios Getahun ◽  
Michael J. Fassett ◽  
Sascha Dublin ◽  
Deborah A. Wing ◽  
Aaron B. Caughey ◽  
...  
Keyword(s):  
Gestational Age ◽  
Recent Trend ◽  
Induction Of Labor ◽  
Elective Induction ◽  
Gestational Age At Delivery ◽  
Race Ethnicity

230: Induction of labor and cesarean delivery by gestational age

2008 ◽  
Vol 199 (6) ◽  
pp. S75
Author(s):  
Aaron B. Caughey ◽  
Yvonne W. Cheng ◽  
James Nicholson ◽  
Anjali Kaimal ◽  
Deirdre Lyell ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Gestational Age ◽  
Induction Of Labor

scholarly journals Fetal prognosis in cesarean section

2021 ◽  
Vol 68 (3) ◽  
pp. 347-353
Author(s):  
Maria Saba ◽  
◽  
Dimitrie Nanu ◽  
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Gestational Age ◽  
Neonatal Complications ◽  
Clinical Complications ◽  
Determining Factors ◽  
Mode Of Birth

When deciding on a caesarean section, perinatologists should consider the consequences for the newborn. Studies show that caesarean section modifies adaptation to extrauterine life and is associated with risks of neonatal complications. Other determining factors for the condition and future of the newborn (gestational age, the existence of labor before cesarean section, anesthesia etc.) are not to be neglected. This article reviews the elements of the neonatal respiratory adaptation physiology, which are essential to understanding the clinical complications attributed to the mode of birth, and proposes a reconsideration of neonatal morbimortality after cesarean section.

scholarly journals 418: Induction of labor for term, large for gestational age fetuses versus expectant management

2018 ◽  
Vol 218 (1) ◽  
pp. S255
Author(s):  
Scott W. Hoffmann ◽  
Vanessa Lee ◽  
Rachel Pilliod ◽  
Aaron B. Caughey
Keyword(s):  
Gestational Age ◽  
Expectant Management ◽  
Induction Of Labor ◽  
Large For Gestational Age
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