Kehl Sven, Weiss Christel, Dammer Ulf, Berlit Sebastian, Große-Steffen Thomas, Faschingbauer Florian, Sütterlin Marc, Beckmann Matthias W, Schneider Michael O
Frauenklinik, Universitätsklinikum Erlangen, Erlangen.
Medizinische Statistik, Biomathematik und Informationsverarbeitung, Universitätsmedizin Mannheim, Mannheim.
Z Geburtshilfe Neonatol. 2019 Feb;223(1):40-47. doi: 10.1055/a-0809-6110. Epub 2019 Jan 16.
Induction of labour for small-for-gestational-age (SGA) foetus or intrauterine growth restriction (IUGR) is common, but data are limited. The aim of this trial was therefore to compare labour induction for SGA/IUGR with cases with normal fetal growth beyond the 10 percentile.
This historical multicentre cohort study included singleton pregnancies at term. Labour induction for SGA/IUGR (IUGR group) was compared with cases of fetal growth beyond the 10 percentile (control group). Primary outcome measure was caesarean section rate.
The caesarean section rate was not different between the 2 groups (27.0 vs. 26.2%, p=0.9154). In the IUGR group, abnormal CTG was more common (30.8 vs. 21.9%, p=0.0214), and fetal blood analyses were conducted more often (2.5 vs. 0.5%, p=0.0261). There were more postpartum transfers to the NICU in the IUGR group (40.0 vs. 12.8%, p<0.0001), too.
Induction of labour for fetal growth restriction was not associated with an increased rate of caesarean section.
