Waiting for Birth, Inducing Equally Effective for Women With Intrauterine Growth Restriction
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Waiting for Birth, Inducing Equally Effective for Women With Intrauterine Growth Restriction

CHICAGO, Ill -- February 4, 2010 -- A study presented today at the Society for Maternal-Fetal Medicine’s (SMFM) annual meeting, showed that waiting for birth is as effective as inducing labor in cases of intrauterine growth restriction (IUGR).

Because of lack of evidence, obstetricians follow 2 main policies for pregnancies with suspected fetal growth restriction at term. Some doctors may induce labour out of concern for complications, while others will await spontaneous delivery to prevent higher operative delivery rates.

Researchers in the Obstetric Research Consortium in the Netherlands conducted a randomised controlled trial of 650 women in 52 hospitals to compare both strategies.

Pregnant women with a singleton pregnancy suspected of IUGR beyond 36 weeks of gestation were randomly allocated to either induction of labour or expectant monitoring using a web-based allocation system.

Median birth weight was significantly lower in the induction group (2,420 grams), compared with the group that waited (2,560 grams). Adverse neonatal outcomes occurred at similar rates in both groups (difference of 0.9 %).

The results show that waiting is an equally effective strategy to inducing labour.

“We now have an evidence based reason to individualise care and to allow women to do what they are most comfortable with when deciding whether to induce labour or wait, although long term outcomes have to be awaited” said Kim Boers, MD, Leiden University Medical Center, Leiden, the Netherlands.

SOURCE: The Society for Maternal-Fetal Medicine

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