postterm pregnancy prolonged pregnancy
Conditions
Interventions
Induction of labour according to local protocol.
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Low risk pregnancy - Singleton pregnancy - Gestational age between 40+5 weeks until 41+2 weeks - Reliable dating based on first trimester ultrasound - Stable cephalic position - Patients of 18yrs or older
Exclusion criteria
Exclusion criteria: * Ruptured Membranes * Other obstetrical indications for secondary care * Proteinuria .3 g/L or more * Renal disease * Heart disease * Fetal abnormalities including abnormal karyotype. * Uncertain estimates of gestational age * No consent for immediate delivery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| perinatal mortality and neonatal morbidity Adverse perinatal outcomes are defined as a 5-minute Apgar-score below 7 and/or an arterial pH below 7.05 meconium aspiration syndrome plexus brachialis injury intracranial hemorrhager NICU admission. | — |
Secondary
| Measure | Time frame |
|---|---|
| instrumental delivery (instrumental vaginal delivery, Caesarean section) pain treatment (epidural, remifentanyl, pethidin) hemorrhage and severe perineal injury (third- or fourth-degree perineal tear) maternal experience of pain maternal satisfaction and quality of life client preferences for induction of labour or expectant management and the extent to which these preferences are influenced by the attributes of obstetric care and socio-demographic factors. | — |
Countries
Netherlands
Outcome results
None listed