Delivery at term: when, how and why
The optimal timing of delivery for the baby is 39 weeks, avoiding the morbidity associated with early term birth and reducing the risk of antepartum stillbirth. There is compelling evidence that among high-risk pregnancies and in settings where cesarean rates are high (>20%), induction of labo...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Published: |
Elsevier
2018
|
| Subjects: | |
| Online Access: | https://eprints.nottingham.ac.uk/52254/ |
| _version_ | 1848798684235431936 |
|---|---|
| author | Walker, Kate F. Thornton, Jim |
| author_facet | Walker, Kate F. Thornton, Jim |
| author_sort | Walker, Kate F. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | The optimal timing of delivery for the baby is 39 weeks, avoiding the morbidity associated with early term birth and reducing the risk of antepartum stillbirth.
There is compelling evidence that among high-risk pregnancies and in settings where cesarean rates are high (>20%), induction of labor at 37 to 40 weeks does not, as previously thought, result in a further increased risk of cesarean delivery.
The only advantage to planned cesarean delivery over induction of labor is the avoidance of the morbidity associated with emergency cesarean delivery; controversy exists on the other reported benefits.
There is a growing number of well-conducted randomized controlled trials that provide some support for induction of labor shortly before term for a variety of indications (hypertensive disorders, gestational diabetes, suspected growth restriction, macrosomia, and advanced maternal age). |
| first_indexed | 2025-11-14T20:23:41Z |
| format | Article |
| id | nottingham-52254 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T20:23:41Z |
| publishDate | 2018 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-522542020-05-04T19:51:03Z https://eprints.nottingham.ac.uk/52254/ Delivery at term: when, how and why Walker, Kate F. Thornton, Jim The optimal timing of delivery for the baby is 39 weeks, avoiding the morbidity associated with early term birth and reducing the risk of antepartum stillbirth. There is compelling evidence that among high-risk pregnancies and in settings where cesarean rates are high (>20%), induction of labor at 37 to 40 weeks does not, as previously thought, result in a further increased risk of cesarean delivery. The only advantage to planned cesarean delivery over induction of labor is the avoidance of the morbidity associated with emergency cesarean delivery; controversy exists on the other reported benefits. There is a growing number of well-conducted randomized controlled trials that provide some support for induction of labor shortly before term for a variety of indications (hypertensive disorders, gestational diabetes, suspected growth restriction, macrosomia, and advanced maternal age). Elsevier 2018-06 Article PeerReviewed Walker, Kate F. and Thornton, Jim (2018) Delivery at term: when, how and why. Clinics in Perinatology, 45 (2). pp. 199-211. ISSN 1557-9840 Term; Induction of labor; Cesarean delivery; Antepartum stillbirth https://www.sciencedirect.com/science/article/pii/S0095510818300046?via%3Dihub doi:10.1016/j.clp.2018.01.004 doi:10.1016/j.clp.2018.01.004 |
| spellingShingle | Term; Induction of labor; Cesarean delivery; Antepartum stillbirth Walker, Kate F. Thornton, Jim Delivery at term: when, how and why |
| title | Delivery at term: when, how and why |
| title_full | Delivery at term: when, how and why |
| title_fullStr | Delivery at term: when, how and why |
| title_full_unstemmed | Delivery at term: when, how and why |
| title_short | Delivery at term: when, how and why |
| title_sort | delivery at term: when, how and why |
| topic | Term; Induction of labor; Cesarean delivery; Antepartum stillbirth |
| url | https://eprints.nottingham.ac.uk/52254/ https://eprints.nottingham.ac.uk/52254/ https://eprints.nottingham.ac.uk/52254/ |