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Cochrane Database Syst Rev. 2000;(2):CD000938.

Induction of labour for suspected fetal macrosomia.

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1
Département de Gynécologie et d'Obstétrique, Hôpitaux Universitaires de Genève, Boulevard de la Cluse, 32, Geneva, Switzerland, CH-1205. olivier.irion@hcuge.ch

Abstract

BACKGROUND:

Suspected macrosomic fetuses are usually induced in order to reduce the risk of difficult operative delivery.

OBJECTIVES:

The objective of this review was to assess the effects of a policy of labour induction for suspected fetal macrosomia on method of delivery and maternal or perinatal morbidity.

SEARCH STRATEGY:

We searched the Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register.

SELECTION CRITERIA:

Randomised trials of induction of labour for suspected fetal macrosomia in non-diabetic women.

DATA COLLECTION AND ANALYSIS:

Trial quality assessment and data extraction were done independently by two reviewers. Study authors were contacted for additional information.

MAIN RESULTS:

Two trials involving 313 women were included. Compared to expectant management, induction of labour for suspected macrosomia did not reduce the risk of caesarean section (odds ratio 0.85, 95% confidence interval 0.50 to 1.46) or instrumental delivery (odds ratio 0.98, 95% confidence interval 0.48 to 1.98). Perinatal morbidity was similar between groups.

REVIEWER'S CONCLUSIONS:

Induction of labour for suspected fetal macrosomia in non-diabetic women did not appear to alter the risk of maternal or neonatal morbidity.

PMID:
10796221
DOI:
10.1002/14651858.CD000938
[Indexed for MEDLINE]
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