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- W2108486527 abstract "Aim: The aim of this audit was to examine the effect of using first-trimester (<14 weeks) ultrasound scan to determine EDD (US EDD) on the rate of induction for postdates pregnancies at Wellington Regional Hospital. Methods: Women with singleton live pregnancies who had postdates (≥41 weeks) induction at Wellington Hospital during January 2009 to November 2009 were identified using a computerised database [Perinatal Information Management System (PIMS)]. The first-trimester ultrasound images and reports for these women were retrieved and reviewed by a specialist in obstetric ultrasound. Only ultrasound studies that had technically satisfactory images at <14 weeks were included. Results: A total of 329 women with a singleton live pregnancy were induced for postdates during the study period. Of these women, 50 (15.2%) were not ≥41 weeks on PIMS EDD and therefore on the best available evidence should not have been induced for being postdates. Of the remaining 279 women, 158 had first-trimester scans available for review. Forty-three of 158 (27%) were <41 weeks when US EDD was used. Conclusions: The rate of postdates inductions at Wellington NRH could be decreased by 38% if induction was limited to women over 41-week gestation and by using US EDD as opposed to last menstrual period EDD. The use of early gestational scans (<14 weeks) to estimate EDD lowers the rate of postdates induction. This is very similar to the observed findings in literature." @default.
- W2108486527 created "2016-06-24" @default.
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- W2108486527 date "2011-01-28" @default.
- W2108486527 modified "2023-09-24" @default.
- W2108486527 title "Rate of postdates induction using first-trimester ultrasound to determine estimated due date: Wellington Regional Hospital audit" @default.
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- W2108486527 doi "https://doi.org/10.1111/j.1479-828x.2010.01279.x" @default.
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