Journal article
Induction of labour for suspected fetal macrosomia.
- Irion O Département de Gynécologie et d'Obstétrique, Hôpitaux Universitaires de Genève, Boulevard de la Cluse, 32, Geneva, Switzerland, CH-1205. olivier.irion@hcuge.ch
- Boulvain M
- 2000-05-05
Published in:
- The Cochrane database of systematic reviews. - 2000
Delivery, Obstetric
Female
Fetal Macrosomia
Humans
Labor, Induced
Obstetric Labor Complications
Pregnancy
English
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.
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.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1002/14651858.CD000938
- PMID 10796221
- Persistent URL
- https://folia.unifr.ch/global/documents/65118
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