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SHORT REPORT

Induction of labour for post-term pregnancy and risk estimates for intrauterine and perinatal death

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Pages 247-249 | Received 18 Jun 2007, Published online: 03 Aug 2009
 

Abstract

Background. Beyond term there is increased risk of intrauterine fetal death (IUFD) and perinatal death, and we aimed to assess this risk beyond 41 weeks and estimate numbers needed to treat to avoid 1 fetal or neonatal death. Design and methods. All singletons births beyond 41 weeks from 1999–2005 registered in the Norwegian Medical Birth Registry were assessed concerning IUFD and perinatal death day by day, and numbers needed to induce to avoid 1 death was estimated. Results. The perinatal death rate increased with increasing gestational age. NNT for perinatal death was 527 at day 287, and 195 at day 302+ (p-value=0.02). Routine induction of labour at 41 weeks implicates >14,000 inductions per year. Conclusions. NNT to avoid 1 fetal or neonatal death is high (671–195), but decreases constantly with gestational age beyond 41 weeks.

Abbreviations
EDD=

estimated day of delivery

IUFD=

intrauterine fetal death

NNT=

number needed to treat

LMP=

Last menstrual period

Abbreviations
EDD=

estimated day of delivery

IUFD=

intrauterine fetal death

NNT=

number needed to treat

LMP=

Last menstrual period

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