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2016•Obstetric Anesthesia DigestRequires access

Induction of Labour Versus Expectant Management for Large-for-Date Fetuses: A Randomized-Controlled Trial

Michel Boulvain, Marie‐Victoire Sénat, F. Perrotin, Norbert Winer, G. Beucher, Damien Subtil, Florence Bretelle, Élie Azria, Dominique Hejaiej, Françoise Vendittelli, M. Capelle, Bruno Langer, Richard Matis, L. Connan, Perrine Gillard, C. Kirkpatrick, Gilles Ceysens, Gilles Faron, Olivier Patrick Irion, Patrick Rozenberg

Open publisher page 2 citations

Abstract

(Lancet. 2015;385(9987):2600–2605) As macrosomia is a risk factor for unfavorable delivery outcomes, including operative vaginal or cesarean delivery and shoulder dystocia (with its associated neonatal morbidity), it is important to determine the best clinical practices for the management of pregnancies with large-for-date fetuses. This randomized-controlled trial evaluated the risks and benefits of induction of labor versus expectant management in women with large-for-date fetuses, hypothesizing that induction of labor would prevent shoulder dystocia and other neonatal and maternal morbidity associated with macrosomia, without significantly affecting the risk of cesarean delivery.

About this research paper

What this paper is about

(Lancet. 2015;385(9987):2600–2605) As macrosomia is a risk factor for unfavorable delivery outcomes, including operative vaginal or cesarean delivery and shoulder dystocia (with its associated neonatal morbidity), it is important to determine the best clinical practices for the management of pregnancies with large-for-date fetuses. This randomized-controlled trial evaluated the risks and benefits of induction of labor versus expectant management in women with large-for-date fetuses, hypothesizing that induction of labor would prevent shoulder dystocia and other neonatal and maternal morbidity associated with macrosomia, without significantly affecting the risk of cesarean delivery.

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OpenAlex reports 2 citations for this work. Citation counts describe recorded attention and do not establish research quality.

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Available abstract

(Lancet. 2015;385(9987):2600–2605) As macrosomia is a risk factor for unfavorable delivery outcomes, including operative vaginal or cesarean delivery and shoulder dystocia (with its associated neonatal morbidity), it is important to determine the best clinical practices for the management of pregnancies with large-for-date fetuses. This randomized-controlled trial evaluated the risks and benefits of induction of labor versus expectant management in women with large-for-date fetuses, hypothesizing that induction of labor would prevent shoulder dystocia and other neonatal and maternal morbidity associated with macrosomia, without significantly affecting the risk of cesarean delivery.

Key concepts: Medicine, Shoulder dystocia, Expectant management, Obstetrics, Randomized controlled trial, Fetal macrosomia, Vaginal delivery, Induction of labor

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