INDEX:Costs and effects of induction of labour versus expectant management in women with impending post-term pregnancies: the 41 week-42 week dilemma
Completed
- Conditions
- postterm pregnancyprolonged pregnancy10010273
- Registration Number
- NL-OMON41657
- Lead Sponsor
- Academisch Medisch Centrum
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 1800
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
* 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
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>perinatal mortality and neonatal morbidity<br /><br>Adverse perinatal outcomes are defined as a 5-minute Apgar-score below 7 and/or<br /><br>an arterial pH below 7.05<br /><br>meconium aspiration syndrome<br /><br>plexus brachialis injury<br /><br>intracranial hemorrhager<br /><br>NICU admission.</p><br>
- Secondary Outcome Measures
Name Time Method <p>instrumental delivery (instrumental vaginal delivery, Caesarean section)<br /><br>pain treatment (epidural, remifentanyl, pethidin)<br /><br>hemorrhage and severe perineal injury (third- or fourth-degree perineal tear)<br /><br>maternal experience of pain<br /><br>maternal satisfaction and quality of life<br /><br>client preferences for induction of labour or expectant management and the<br /><br>extent to which these preferences are influenced by the attributes of obstetric<br /><br>care and socio-demographic factors.</p><br>