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Delivery at term: when, how and why

Walker, Kate F.; Thornton, Jim

Authors

KATE WALKER Kate.Walker@nottingham.ac.uk
Clincial Associate Professor Inobstetrics / anne Mclaren Fellow

JIM THORNTON jim.thornton@nottingham.ac.uk
Professor of Obstetrics and Gynaecology



Abstract

The optimal timing of delivery for the baby is 39 weeks, avoiding the morbidity associated with early term birth and reducing the risk of antepartum stillbirth.

There is compelling evidence that among high-risk pregnancies and in settings where cesarean rates are high (>20%), induction of labor at 37 to 40 weeks does not, as previously thought, result in a further increased risk of cesarean delivery.

The only advantage to planned cesarean delivery over induction of labor is the avoidance of the morbidity associated with emergency cesarean delivery; controversy exists on the other reported benefits.

There is a growing number of well-conducted randomized controlled trials that provide some support for induction of labor shortly before term for a variety of indications (hypertensive disorders, gestational diabetes, suspected growth restriction, macrosomia, and advanced maternal age).

Citation

Walker, K. F., & Thornton, J. (2018). Delivery at term: when, how and why. Clinics in Perinatology, 45(2), https://doi.org/10.1016/j.clp.2018.01.004

Journal Article Type Article
Acceptance Date Feb 19, 2018
Online Publication Date Feb 19, 2018
Publication Date Jun 1, 2018
Deposit Date Jun 5, 2018
Publicly Available Date Feb 20, 2019
Journal Clinics in Perinatology
Print ISSN 0095-5108
Electronic ISSN 1557-9840
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 45
Issue 2
DOI https://doi.org/10.1016/j.clp.2018.01.004
Keywords Term; Induction of labor; Cesarean delivery; Antepartum stillbirth
Public URL http://eprints.nottingham.ac.uk/id/eprint/52254
Publisher URL https://www.sciencedirect.com/science/article/pii/S0095510818300046?via%3Dihub
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0





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