Labour induction in postdate pregnancy: when to start – at week 40 or 41 of gestation?

Placental Insufficiency in Pregnancy after 40 Week of Gestation

Pregnancy after the 40 week of gestation is often a great dilemma for obstetrician in diagnostic, therapeutic and in psychological terms as well. The aim of this study was to confirm the phenomenon of placental insufficiency in pregnancy after the 40 gestation week, the modality of delivery and perinatal outcome. The study comprised 3405 deliveries in a period of one year, 391 of which were ter...

Routine induction of labour at 41 weeks of gestation: nonsensus consensus.

THE USE OF BREAST STIMULATION TO PREVENT POSTDATE PREGNANCY

Postdate pregnancy is estimated to occur in 3% to 12% of all gestations. Morbidity and mortality rates associated with this common obstetric problem are higher than those with term gestation. The incidence of fetal distress, birth injury, meconium aspiration, congenital malformations, macrosomia, and oligohydramnios is also greater in postdate pregnancies. We prospectively evaluated breast ...

Dialysis: when to start or when to stop?

Sir, There have been several recent discussions around the timing of initiation of dialysis [1,2]. There remains little scientific consensus on when to start and on which clinical and biochemical parameters we base this decision. In the broadest sense, dialysis should serve to decrease morbidity and/or mortality whilst maintaining or improving quality of life. It is almost assumed that renal re...

when to start dialysis in elderly patients