Post term pregnancy defined as a pregnancy of 294 days or more occurs in approximately 6% of all pregnancies and is associated with an increased risk for neonatal morbidity and a small but significant increased risk of neonatal mortality.
Conditions
Interventions
If referral for post term pregnancy is planned within the next 24 hours, randomisation takes place:
The intervention group will receive amniotomy at home and expectant managment of labour for 12 hour
Sponsors
Midwifery Academy Amsterdam
Louwesweg 6
1066 EC Amsterdam
Telefoon 020 – 512 4231
Fax 020 – 614 0698
E-mail kvjry@slz.nl
Eligibility
Inclusion criteria
Inclusion criteria: After informed consent women with a single fetus in cephalic position and a pregnancy of 292 days or more, receiving prenatal care from a midwife in a freestanding midwifery practice are included in the trial.
Exclusion criteria
Exclusion criteria: Exclusion criteria are a history of neonatal infection, endometritis, stillbirth, and in this pregnancy a positive GBS culture, a suboptimal fetal condition, contractions, rupture of membranes or communication problems.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of women that will deliver without obstetric interventions besides amniotomy. Data of pregnancy outcome, performed management and obstetric interventions are obtained from midwives and obstetricians with a for this study designed CRF. Data regarding patient expectations of birth and birth-management are obtained from participating women by questionaire. This will take place in pregnancy between 292-294 days but before randomisation. Data about patient satisfaction and patients costs are obtained by questionaire within 1 month postpartum. | — |
Secondary
| Measure | Time frame |
|---|---|
| Proportion ceasarean section and admission to the NICU. Other obstetric interventions on maternal or fetal indication, pain relief, maternal and fetal morbidity, medical and patients costs, patient satisfaction. | — |
Contacts
Public ContactM.E.B. Rijnders
TNO Quality of life, P.O. Box 2215
Outcome results
None listed