Propensity score method for analyzing the effect of labor induction in prolonged pregnancy

Propensity score method for analyzing the effect of labor induction in prolonged pregnancy AbbreviationsCIconfidence intervalCScesarean sectionGAgestational agePSpropensity scoreRCTrandomized controlled trialRRrelative riskKey messageLabor induction decreases the risk for meconium aspiration syndrome (between 40+0 and 41+4) but increases the risk for cesarean section around 41 weeks. Close to 42 weeks, labor induction does not confer any additional risk or benefit compared with expectant management.IntroductionRisks related to prolonged pregnancy are well recognized. Post‐term (42+0 weeks or more) and even late‐term births (41+0–41+6 weeks) are known to be associated with increased risks compared with term period (39+0–40+6 weeks), from both a maternal and a neonatal perspective . Proactive management is suggested to decrease the risks, and existing evidence mostly favors labor induction over expectant management . It is crucial, however, to acknowledge that nearly every fourth pregnancy continues beyond term, and choosing to induce most of them has a substantial impact on the obstetric care as a whole .There are an exhaustive number of studies on the impact of labor induction on maternal and neonatal outcomes. Induction seems to improve neonatal outcomes but the impact on the risk for emergency cesarean section (CS) is not clearly established . Observational setups are justifiably criticized for their methodological issues; unrecognized or uncontrollable confounders, and even wrong control groups (comparing labor induction with spontaneous http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Acta Obstetricia Et Gynecologica Scandinavica Wiley

Propensity score method for analyzing the effect of labor induction in prolonged pregnancy

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
Copyright © 2018 Acta Obstetricia et Gynecologica Scandinavica
ISSN
0001-6349
eISSN
1600-0412
D.O.I.
10.1111/aogs.13214
Publisher site
See Article on Publisher Site

Abstract

AbbreviationsCIconfidence intervalCScesarean sectionGAgestational agePSpropensity scoreRCTrandomized controlled trialRRrelative riskKey messageLabor induction decreases the risk for meconium aspiration syndrome (between 40+0 and 41+4) but increases the risk for cesarean section around 41 weeks. Close to 42 weeks, labor induction does not confer any additional risk or benefit compared with expectant management.IntroductionRisks related to prolonged pregnancy are well recognized. Post‐term (42+0 weeks or more) and even late‐term births (41+0–41+6 weeks) are known to be associated with increased risks compared with term period (39+0–40+6 weeks), from both a maternal and a neonatal perspective . Proactive management is suggested to decrease the risks, and existing evidence mostly favors labor induction over expectant management . It is crucial, however, to acknowledge that nearly every fourth pregnancy continues beyond term, and choosing to induce most of them has a substantial impact on the obstetric care as a whole .There are an exhaustive number of studies on the impact of labor induction on maternal and neonatal outcomes. Induction seems to improve neonatal outcomes but the impact on the risk for emergency cesarean section (CS) is not clearly established . Observational setups are justifiably criticized for their methodological issues; unrecognized or uncontrollable confounders, and even wrong control groups (comparing labor induction with spontaneous

Journal

Acta Obstetricia Et Gynecologica ScandinavicaWiley

Published: Jan 1, 2018

Keywords: ; ; ; ; ; ; ;

References

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