Irion O, Boulvain M
Département de Gynécologie et d'Obstétrique, Hôpitaux Universitaires de Genève, Boulevard de la Cluse, 32, Geneva, Switzerland, CH-1205.
Cochrane Database Syst Rev. 2000(2):CD000938. doi: 10.1002/14651858.CD000938.
Suspected macrosomic fetuses are usually induced in order to reduce the risk of difficult operative delivery.
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.
We searched the Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register.
Randomised trials of induction of labour for suspected fetal macrosomia in non-diabetic women.
Trial quality assessment and data extraction were done independently by two reviewers. Study authors were contacted for additional information.
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.
为降低手术分娩困难的风险，通常会对疑似巨大胎儿进行引产。
本综述的目的是评估对疑似胎儿巨大的引产政策对分娩方式及孕产妇或围产期发病率的影响。
我们检索了Cochrane妊娠与分娩组试验注册库和Cochrane对照试验注册库。
非糖尿病女性中疑似胎儿巨大引产的随机试验。
两名评价员独立进行试验质量评估和数据提取。与研究作者联系以获取更多信息。
纳入了两项涉及313名女性的试验。与期待管理相比，对疑似巨大胎儿引产并未降低剖宫产风险（比值比0.85，95%置信区间0.50至1.46）或器械助产风险（比值比0.98，95%置信区间0.48至1.98）。两组间围产期发病率相似。
非糖尿病女性中对疑似胎儿巨大进行引产似乎并未改变孕产妇或新生儿发病率风险。
