Manejo del embarazo prolongado no complicado: ¿inducción o espera?

Abstract

Objective To assess our protocol of performance at the post-term pregnancies, determining if the induction of labour at 42 weeks’ gestation entails more mother-foetal benefits than the later ending of it. Methods 64 uncomplicated post-term pregnancies that decided to finish her pregnancy at 42 weeks were compared with 173 women who decided to continue her pregnancy beyond the above mentioned date of gestation. Results There was a greater rate of caesarean section and poor perinatals results in the group of women that decided not to induce the labour at 42 weeks’ gestation. Most of these women finishes her gestation inducing it slightly later on. Conclusions In uncomplicated post-term pregnancies, the induction of the labour at 42 weeks’ gestation entails better mother-foetal results and is more efficient than to continue with mother-foetal controls during more time.