Journal article

Management of pregnancy at and beyond 41 completed weeks of gestation in low-risk women: a secondary analysis of two WHO multi-country surveys on maternal and newborn health

Kyaw Swa Mya, Malinee Laopaiboon, Joshua P Vogel, Jose Guilherme Cecatti, Joao Paulo Souza, Ahmet Metin Gulmezoglu, Eduardo Ortiz-Panozo, Suneeta Mittal, Pisake Lumbiganon

REPRODUCTIVE HEALTH | BMC | Published : 2017

Abstract

BACKGROUND: The World Health Organization (WHO) recommends induction of labour (IOL) for women who have reached 41 completed weeks of pregnancy without spontaneous onset of labour. Many women with prolonged pregnancy and/or their clinicians elect not to induce, and chose either elective caesarean section (ECS) or expectant management (EM). This study intended to assess pregnancy outcomes of IOL, ECS and EM at and beyond 41 completed weeks. METHODS: This study is a secondary analysis of the WHO Global Survey (WHOGS) and the WHO Multi-country Survey (WHOMCS) conducted in Africa, Asia, Latin America and the Middle East. There were 33,003 women with low risk singleton pregnancies at ≥41 complete..

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