Balancing the risks of prolonged gestation against those of induced labour is difficult. Risks to the fetus increase slightly after 42 weeks' gestation but women having labour induced are more likely to have instrumental deliveries or babies with low Apgar scores. Since many women are now expressing a preference for minimal interference in childbirth the most acceptable management of post-term ...

INTRODUCTION Discussions among Norwegian obstetricians on how to handle prolonged pregnancies have been ongoing throughout the past decade. In 2011, the Norwegian Directorate of Health recommended a specialist care consultation one week after the estimated date of delivery, implying prompt induction of labour in women at risk. The aim of this study was to compare an expectant management with a ...

introduction: prolonged labor can lead to maternal and neonatal complications. the purpose of this study was to investigate the effect of pethidine on the duration of active labor in nulli-parous women. materials and methods: in a randomized clinical 90 nulliparous women with uncomplicated singleton pregnancies at term were randomly assigned into two groups. the first group received 50 mg pethi...

abstract background: prolonged labor can lead to maternal and neonatal complications. the purpose of this study was to investigate the effect of oral propranolol plus oxytocin versus oxytocin only on the process and outcome of labor. materials and methods: in a randomized, double-blind, controlled trial performed in ilam mustafa hospital, a total of 146 nulliparous pregnant women at gestational...

OBJECTIVES To determine the ability of Bishop score and sonographic cervical length to predict time to spontaneous onset of labor and time to delivery in prolonged pregnancy. METHODS Ninety-seven women underwent transvaginal ultrasound examination and palpation of the cervix at 291-296 days' gestation according to ultrasound fetometry at 12-20 weeks' gestation. Sonographic cervical length and...

A prospective study of 199 patients over a two year period, 1 Jun 90 to 31 May 92 at the Louise Margaret Maternity Wing, Cambridge Military Hospital, Aldershot was undertaken to audit the uptake of an offer of conservative management of prolonged pregnancy to women at 42 weeks gestation. The labour outcomes of patients opting for conservative or induction management plans were recorded and the ...

The use of acupuncture during pregnancy appears to be safe and well tolerated by women in all trimesters. However, there is some debate regarding the use of certain acupuncture points that were historically considered to be forbidden during pregnancy.1 Randomized controlled trials evaluating acupuncture during pregnancy and labor where forbidden points have been used indicate there is no eviden...

THIS paper reviews evidence that the foetus plays a vital role in determining gestation at labour. The hypothesis was not the keystone of our work initially, but evidence of foetal regulation of the myometrium became increasingly apparent during the course of studies on uterine contractility in human pregnancy. Work on induction of labour (Turnbull & Anderson, 1967, 1968a, b) made us aware of t...

OBJECTIVES To study the safety and efficacy of oral mifepristone in pre-induction cervical ripening and induction of labour in prolonged pregnancy. METHODS This is a single blind randomized control trial. 100 women with prolonged pregnancy beyond 40 weeks and Bishop score <6 were recruited, and randomly allocated into two groups. Women who received Tab. Mifepristone 200 mg orally were assigne...