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Maternal and Perinatal Outcomes of Expectant Management of Full-Term, Low-Risk, Nulliparous Patients
- Source :
- Obstet Gynecol
- Publication Year :
- 2021
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2021.
-
Abstract
- OBJECTIVE To compare risks of maternal and perinatal outcomes by completed week of gestation from 39 weeks in low-risk nulliparous patients undergoing expectant management. METHODS We conducted a secondary analysis of a multicenter randomized trial of elective induction of labor at 39 weeks of gestation compared with expectant management in low-risk nulliparous patients. Participants with nonanomalous neonates, who were randomized to and underwent expectant management and attained 39 0/7 weeks of gestation, were included. Delivery gestation was categorized by completed week: 39 0/7-39 6/7 (39 weeks), 40 0/7-40 6/7 (40 weeks), and 41 0/7-42 2/7 (41-42 weeks) (none delivered after 42 2/7). The coprimary outcomes were cesarean delivery and a perinatal composite (death, respiratory support, 5-minute Apgar score 3 or less, hypoxic ischemic encephalopathy, seizure, sepsis, meconium aspiration syndrome, birth trauma, intracranial or subgaleal hemorrhage, or hypotension requiring vasopressor support). Other outcomes included a maternal composite (blood transfusion, surgical intervention for postpartum hemorrhage, or intensive care unit admission), hypertensive disorders of pregnancy, peripartum infection, and neonatal intermediate or intensive care unit admission. For multivariable analysis, P
- Subjects :
- medicine.medical_specialty
Blood transfusion
Birth trauma
medicine.medical_treatment
Article
law.invention
03 medical and health sciences
0302 clinical medicine
Pregnancy
law
Meconium aspiration syndrome
medicine
Humans
Labor, Induced
030212 general & internal medicine
Watchful Waiting
Full Term
030219 obstetrics & reproductive medicine
Cesarean Section
Obstetrics
business.industry
Obstetrics and Gynecology
medicine.disease
Intensive care unit
Parity
Gestation
Female
Apgar score
business
Subjects
Details
- ISSN :
- 00297844
- Volume :
- 137
- Database :
- OpenAIRE
- Journal :
- Obstetrics & Gynecology
- Accession number :
- edsair.doi.dedup.....9cbed027521d83c32cd5c0c98432048f