Postterm pregnancy is a pregnancy that extends to 42 weeks of gestation or beyond. Fetal, neonatal and maternal complications associated with this condition have always been underestimated. It is not well understood why some women become postterm although in obesity, hormonal and genetic factors have been implicated. The management of postterm pregnancy constitutes a challenge to clinicians; kn...

Labour induction and augmentation with Prostaglandin and Oxytocin are well established as standard practice worldwide. They are safe when used judiciously, but may be associated with maternal and neonatal morbidities. Other safer alternatives have been studied including dates consumption during late pregnancy with various outcomes. The aim of this randomised controlled trial was to investigate ...

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A simmering crisis in the Nigerian agriculture today involves labour and the crisis manifests itself in the degree of labour availability, labour demand and labour productivity. One of the major products of this crisis is the increased participation of children in paid, non-familiar agricultural jobs. Agriculture ranks as one of the three most dangerous work activities, along with mining and co...

OBJECTIVES To compare three methods of labour induction. DESIGN Randomised controlled trial. SETTING Academic hospitals in Johannesburg, South Africa. SUBJECTS Women with intact membranes due for induction of labour. METHOD Randomised, sealed opaque envelopes were used to allocate women to labour induction with extra-amniotic Foley catheter/titrated oral misoprostol solution (N = 174), ...

OBJECTIVE To estimate the cost-effectiveness of prostaglandin E2 (dinoprostone) vaginal gel for the induction of labour at term from the perspective of the UK's National Health Service. DESIGN Economic evaluation conducted as part of a randomised controlled trial. SETTING Maternity department at a major teaching hospital in London, UK. POPULATION A cohort of 165 pregnant women presenting ...

The commonest modern indication for the induction of labour is suspected placental deficiency, associated either with so-called pregnancy toxaemia or with postmaturity. There is, however, a revival of induction of labour for minor cephalopelvic disproportion, and not only in multigravidx (Drew Smythe 1949, Tennent and Black 1954, MacLennan 1954). The consultant staff of St. Luke’s Maternity Hos...

This paper is a prospective study of the outcome of labour in 109 patients with favourable and unfavourable cervices in whom labour was induced by intravaginal prostaglandin, with supplementary syntocinon infusion where necessary. There were 61 primigravidae and 48 multigravidae. The rate of operative intervention was virtually no higher than in those labours of spontaneous onset. The length of...