O Irion1, M Boulvain. 1. Département de Gynécologie et d'Obstétrique, Hôpitaux Universitaires de Genève, Boulevard de la Cluse, 32, Geneva, Switzerland, CH-1205. olivier.irion@hcuge.ch
Abstract
BACKGROUND: Suspected macrosomic fetuses are usually induced in order to reduce the risk of difficult operative delivery. OBJECTIVES: The objective of this review was to assess the effects of a policy of labour induction for suspected fetal macrosomia on method of delivery and maternal or perinatal morbidity. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register. SELECTION CRITERIA: Randomised trials of induction of labour for suspected fetal macrosomia in non-diabetic women. DATA COLLECTION AND ANALYSIS: Trial quality assessment and data extraction were done independently by two reviewers. Study authors were contacted for additional information. MAIN RESULTS: Two trials involving 313 women were included. Compared to expectant management, induction of labour for suspected macrosomia did not reduce the risk of caesarean section (odds ratio 0.85, 95% confidence interval 0.50 to 1.46) or instrumental delivery (odds ratio 0.98, 95% confidence interval 0.48 to 1.98). Perinatal morbidity was similar between groups. REVIEWER'S CONCLUSIONS: Induction of labour for suspected fetal macrosomia in non-diabetic women did not appear to alter the risk of maternal or neonatal morbidity.
BACKGROUND: Suspected macrosomic fetuses are usually induced in order to reduce the risk of difficult operative delivery. OBJECTIVES: The objective of this review was to assess the effects of a policy of labour induction for suspected fetal macrosomia on method of delivery and maternal or perinatal morbidity. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register. SELECTION CRITERIA: Randomised trials of induction of labour for suspected fetal macrosomia in non-diabeticwomen. DATA COLLECTION AND ANALYSIS: Trial quality assessment and data extraction were done independently by two reviewers. Study authors were contacted for additional information. MAIN RESULTS: Two trials involving 313 women were included. Compared to expectant management, induction of labour for suspected macrosomia did not reduce the risk of caesarean section (odds ratio 0.85, 95% confidence interval 0.50 to 1.46) or instrumental delivery (odds ratio 0.98, 95% confidence interval 0.48 to 1.98). Perinatal morbidity was similar between groups. REVIEWER'S CONCLUSIONS: Induction of labour for suspected fetal macrosomia in non-diabeticwomen did not appear to alter the risk of maternal or neonatal morbidity.
Authors: Sascha Dublin; Karin E Johnson; Rod L Walker; Lyndsay A Avalos; Susan E Andrade; Sarah J Beaton; Robert L Davis; Lisa J Herrinton; Pamala A Pawloski; Marsha A Raebel; David H Smith; Sengwee Toh; Aaron B Caughey Journal: J Womens Health (Larchmt) Date: 2014-10-20 Impact factor: 2.681
Authors: Gary L Darmstadt; Mohammad Yawar Yakoob; Rachel A Haws; Esme V Menezes; Tanya Soomro; Zulfiqar A Bhutta Journal: BMC Pregnancy Childbirth Date: 2009-05-07 Impact factor: 3.007
Authors: Diana M Bond; Adrienne Gordon; Jon Hyett; Bradley de Vries; Angela E Carberry; Jonathan Morris Journal: Cochrane Database Syst Rev Date: 2015-11-24