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- W2997389216 abstract "Spontaneous labour (SL) and delivery is associated with lowest morbidity balance for mother and infant. Data over past 20 years on the safest time for delivery has been conflicting, and has influenced the recommendations on Induction of Labour (IOL). This study aims to determine the optimum gestational age (GA) at which to have a baby presuming spontaneous onset of labour. A retrospective population-base study was conducted on all women who had spontaneous onset of labour at term (after 37 weeks) with a singleton pregnancy and a cephalic presentation. All women had ultrasound dating at their first antenatal visit and dates were changed if the ultrasound date differed from the menstrual date by more than 7 days or the patients had an irregular cycle. Patients were excluded if they booked after 14 weeks. The primary outcome was variation in the mode of delivery by gestation. Secondary outcomes were, the incidence of low Apgar Score (< 7 at 5 minutes) and NICU admission. Statistical analysis was performed using SAS Version 9.4. Ethical approval was granted by the institution’s Research Ethics Committee. The cases were divided into groups dependent on week of SL. There were 30,181 patients were eligible for inclusion. The highest vaginal delivery rate was seen in the 38 week group. The lowest vaginal delivery and the highest caesarean section (CS) rate was in the group with SL after 41 weeks. This group also had the highest rate of low Apgar scores. The highest NICU admission rate was seen in the 37+ week group. Pregnancies in SL at either 38 or 39 weeks had the lowest incidence of NICU admission and low Apgar scores and the lowest CS rates. Of term pregnancies going into spontaneous labour, onset after 41 weeks’ gestation is associated with the highest instrumental delivery and caesarean section rates and highest rate of low Apgar scores. SOL in 38 or 39th week of pregnancy had the highest vaginal delivery rate and lowest incidences of NICU admission and low Apgar scores.View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
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- W2997389216 date "2020-01-01" @default.
- W2997389216 modified "2023-10-18" @default.
- W2997389216 title "1188: Outcomes of term pregnancies in spontaneous labour" @default.
- W2997389216 doi "https://doi.org/10.1016/j.ajog.2019.11.1200" @default.
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