Obstetric consequences of postmaturity
The obstetric management of 340 pregnancies delivered 2 or more weeks postterm and 1408 pregnancies delivered at 41 weeks in compared with that of 5915 pregnancies delivered at 39 to 40 weeks. In all patients menstrual dating was confirmed by early ultrasonographic examination. Postterm labor in pri...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 1988-02, Vol.158 (2), p.334-338 |
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| container_end_page | 338 |
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| container_issue | 2 |
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| container_title | American journal of obstetrics and gynecology |
| container_volume | 158 |
| creator | Boyd, Mark E. Usher, Robert H. McLean, Frances H. Kramer, Michael S. |
| description | The obstetric management of 340 pregnancies delivered 2 or more weeks postterm and 1408 pregnancies delivered at 41 weeks in compared with that of 5915 pregnancies delivered at 39 to 40 weeks. In all patients menstrual dating was confirmed by early ultrasonographic examination. Postterm labor in primiparas resulted in a high cesarean section rate because of failure to progress; this increased rate was observed even after controlling for induction of labor and the size of the infant. We suggest that primiparas who go postterm often have increased uterine dysfunction. Uterine dysfunction accounts for the increase in the cesarean section rate and is a partial explanation for “failed” inductions. |
| doi_str_mv | 10.1016/0002-9378(88)90150-0 |
| format | Article |
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In all patients menstrual dating was confirmed by early ultrasonographic examination. Postterm labor in primiparas resulted in a high cesarean section rate because of failure to progress; this increased rate was observed even after controlling for induction of labor and the size of the infant. We suggest that primiparas who go postterm often have increased uterine dysfunction. Uterine dysfunction accounts for the increase in the cesarean section rate and is a partial explanation for “failed” inductions.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/0002-9378(88)90150-0</identifier><identifier>PMID: 3277431</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Biological and medical sciences ; Cesarean Section ; Diseases of mother, fetus and pregnancy ; Dysfunctional labor ; Female ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Humans ; induction of labor ; Labor, Induced ; Medical sciences ; Obstetric Labor Complications - etiology ; Parity ; postmaturity ; Pregnancy ; Pregnancy, Prolonged ; Pregnancy. Fetus. 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In all patients menstrual dating was confirmed by early ultrasonographic examination. Postterm labor in primiparas resulted in a high cesarean section rate because of failure to progress; this increased rate was observed even after controlling for induction of labor and the size of the infant. We suggest that primiparas who go postterm often have increased uterine dysfunction. Uterine dysfunction accounts for the increase in the cesarean section rate and is a partial explanation for “failed” inductions.</description><subject>Biological and medical sciences</subject><subject>Cesarean Section</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Dysfunctional labor</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>induction of labor</subject><subject>Labor, Induced</subject><subject>Medical sciences</subject><subject>Obstetric Labor Complications - etiology</subject><subject>Parity</subject><subject>postmaturity</subject><subject>Pregnancy</subject><subject>Pregnancy, Prolonged</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Risk Factors</subject><subject>Ultrasonography</subject><subject>ultrasound examination</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMoWqv_QKEHKXpYnWTTfFwEKX5BoRc9h91JFiL7UZNU6L931y49ehqGeWaY9yHkisI9BSoeAIBlOpfqVqk7DXQBGRyRCQUtM6GEOiaTA3JGzmP8Glqm2Sk5zZmUPKcTMl-XMbkUPM6wa6P73roWXZx11WzTxdQUaRt82l2Qk6qoo7sc65R8vjx_LN-y1fr1ffm0yjBXImW6QiuZsJzbqgDLUctScYbKobaOI0egpQWxqLjNdSVKKkvKRG6tYlhqlU_JfH93E7r-lZhM4yO6ui5a122jkQq0Bsl6kO9BDF2MwVVmE3xThJ2hYAY9ZghrhuxGKfOnx0C_dj3e35aNs4el0Uc_vxnnRcSirkLRoo8HTAKnC6V77HGPud7Fj3fBRPSDOOuDw2Rs5___4xd9eIBz</recordid><startdate>19880201</startdate><enddate>19880201</enddate><creator>Boyd, Mark E.</creator><creator>Usher, Robert H.</creator><creator>McLean, Frances H.</creator><creator>Kramer, Michael S.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19880201</creationdate><title>Obstetric consequences of postmaturity</title><author>Boyd, Mark E. ; Usher, Robert H. ; McLean, Frances H. ; Kramer, Michael S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-9fcd726d44dfa0d4c97b842c8ec9de4c4c01bd065f4d39f6b17b1263dd82cb983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Biological and medical sciences</topic><topic>Cesarean Section</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Dysfunctional labor</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>induction of labor</topic><topic>Labor, Induced</topic><topic>Medical sciences</topic><topic>Obstetric Labor Complications - etiology</topic><topic>Parity</topic><topic>postmaturity</topic><topic>Pregnancy</topic><topic>Pregnancy, Prolonged</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Risk Factors</topic><topic>Ultrasonography</topic><topic>ultrasound examination</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boyd, Mark E.</creatorcontrib><creatorcontrib>Usher, Robert H.</creatorcontrib><creatorcontrib>McLean, Frances H.</creatorcontrib><creatorcontrib>Kramer, Michael S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boyd, Mark E.</au><au>Usher, Robert H.</au><au>McLean, Frances H.</au><au>Kramer, Michael S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obstetric consequences of postmaturity</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1988-02-01</date><risdate>1988</risdate><volume>158</volume><issue>2</issue><spage>334</spage><epage>338</epage><pages>334-338</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>The obstetric management of 340 pregnancies delivered 2 or more weeks postterm and 1408 pregnancies delivered at 41 weeks in compared with that of 5915 pregnancies delivered at 39 to 40 weeks. In all patients menstrual dating was confirmed by early ultrasonographic examination. Postterm labor in primiparas resulted in a high cesarean section rate because of failure to progress; this increased rate was observed even after controlling for induction of labor and the size of the infant. We suggest that primiparas who go postterm often have increased uterine dysfunction. Uterine dysfunction accounts for the increase in the cesarean section rate and is a partial explanation for “failed” inductions.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>3277431</pmid><doi>10.1016/0002-9378(88)90150-0</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0002-9378 |
| ispartof | American journal of obstetrics and gynecology, 1988-02, Vol.158 (2), p.334-338 |
| issn | 0002-9378 1097-6868 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Biological and medical sciences Cesarean Section Diseases of mother, fetus and pregnancy Dysfunctional labor Female Gestational Age Gynecology. Andrology. Obstetrics Humans induction of labor Labor, Induced Medical sciences Obstetric Labor Complications - etiology Parity postmaturity Pregnancy Pregnancy, Prolonged Pregnancy. Fetus. Placenta Risk Factors Ultrasonography ultrasound examination |
| title | Obstetric consequences of postmaturity |
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