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Labor induction for macrosomia not justified: Expectant management was associated with a significantly lower cesarean section rate. (Metaanalysis of 11 Studies).
NEW ORLEANS - Labor induction for the sole indication of suspected macrosomia cannot currently be justified, Dr. Luis Sanchez-Ramos said at the annual meeting of the Society for Maternal-Fetal Medicine.
Instead, these patients should be managed expectantly, he added.
That conclusion emerged from a systematic review and metaanalysis of the published literature conducted by Dr. SanchezRamos of the department of obstetrics and gynecology, University of Florida Health Science Center, Jacksonville.
"This is a very important clinical problem. Many obstetricians feel that if babies are getting big they have to do something early. Our study shows that, based on the literature, we should leave them alone," he commented.
The metaanalysis included a total of 11 studies and involved 3,751 women.
The mean number of patients per study was 273.
The rate of cesarean delivery was significantly lower with ...
- Postterm pregnancy risks may be underestimated. (Expectant Management...
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- Magazine article from: Women's Health Weekly July 31, 2003 700+ words
...controlled trials that compared labor induction and expectant management for uncomplicated, singleton...coworkers concluded that labor induction at 41 weeks significantly...revealed fewer cesareans with labor induction compared with deliveries...
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- Special Feature: Unilocular Ovarian Cysts in Postmenopausal Women: Surgery vs...
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- Nasogastric decompression treats Small-Bowel obstruction: Expectant management...
- Magazine article from: OB GYN News Jancin, Bruce January 15, 2002 700+ words
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- LABOR INDUCTION NEED NOT INCREASE CESAREAN RISK
- News wire article from: US Fed News Service, Including US State News August 18, 2009 700+ words
...make, the team reviewed randomized controlled trials that assigned women to an elective induction group or an "expectant management of pregnancy" (waiting) group at a particular time in late pregnancy. These studies indicated that elective...
- UCSF/Stanford team finds labor induction need not increase cesarean...
- Magazine article from: Women's Health Weekly September 3, 2009 700+ words
...make, the team reviewed randomized controlled trials that assigned women to an elective induction group or an "expectant management of pregnancy" (waiting) group at a particular time in late pregnancy. These studies indicated that elective...