Shoulder Dystocia
Introduction
Cochrane Database Syst Rev.
2000;(2):CD000938.
Induction of labour for suspected fetal macrosomia.
Irion O, Boulvain M.
D?artement de Gyn?ologie et d'Obst?rique, H?itaux Universitaires de Gen?e, Boulevard de la Cluse, 32, Geneva, Switzerland, CH-1205. olivier. Irion@hcuge.ch
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.
