Obstetrics & Gynecology Track the topics, authors and articles important to you
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Obstetrics & Gynecology 2004;103:57-62
© 2004 by The American College of Obstetricians and Gynecologists
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Caughey, A. B.
Right arrow Articles by Musci, T. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Caughey, A. B.
Right arrow Articles by Musci, T. J.

ORIGINAL RESEARCH

Complications of Term Pregnancies Beyond 37 Weeks of Gestation

Aaron B. Caughey, MPP, MPH and Thomas J. Musci, MD

From the Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco; and Department of Obstetrics and Gynecology, California Pacific Medical Center, San Francisco, California.

Address reprint requests to: Aaron B. Caughey, MD, MPP, MPH, University of California, San Francisco, Department of Obstetrics and Gynecology, 505 Parnassus Avenue, Box 0856, San Francisco, CA 94143; e-mail: abcmd{at}uclink.berkeley.edu.

OBJECTIVE: To estimate when rates of pregnancy complications increase beyond 37 weeks of gestation.

METHODS: We designed a retrospective, cohort study of all women delivered beyond 37 weeks of gestational age from 1992 to 2002 at a single community hospital. Rates of perinatal complications by gestational age were analyzed with both bivariate and multivariable analyses. Statistical significance was designated by P < .05.

RESULTS: Among the 45,673 women who delivered at 37 completed weeks and beyond, the rates of meconium and macrosomia increased beyond 38 weeks of gestation (P < .001), the rates of operative vaginal delivery, chorioamnionitis, and endomyometritis all increased beyond 40 weeks of gestation (P < .001), and rates of intrauterine fetal death and cesarean delivery increased beyond 41 weeks of gestation (P < .001).

CONCLUSION: Risks to both mother and infant increase as pregnancy progresses beyond 40 weeks of gestation.

LEVEL OF EVIDENCE: II-3




This article has been cited by other articles:


Home page
 Obstet GynecolHome page
B. A. Yoder, M. C. Gordon, and W. H. Barth Jr
Late-Preterm Birth: Does the Changing Obstetric Paradigm Alter the Epidemiology of Respiratory Complications?
Obstet. Gynecol., April 1, 2008; 111(4): 814 - 822.
[Abstract] [Full Text] [PDF]

Home page
 Ann Fam MedHome page
J. M. Nicholson, D. L. Yeager, and G. Macones
A Preventive Approach to Obstetric Care in a Rural Hospital: Association Between Higher Rates of Preventive Labor Induction and Lower Rates of Cesarean Delivery
Ann. Fam. Med, July 1, 2007; 5(4): 310 - 319.
[Abstract] [Full Text] [PDF]

Home page
 Obstet GynecolHome page
R. Heimstad, P. R. Romundstad, S. H. Eik-Nes, and K. A. Salvesen
Outcomes of pregnancy beyond 37 weeks of gestation.
Obstet. Gynecol., September 1, 2006; 108(3): 500 - 508.
[Abstract] [Full Text] [PDF]

Home page
 Obstet GynecolHome page
C. L. Ray, M. Carayol, J. Zeitlin, G. Breart, F. Goffinet, and for the PREMODA Study Group
Level of Perinatal Care of the Maternity Unit and Rate of Cesarean in Low-Risk Nulliparas.
Obstet. Gynecol., June 1, 2006; 107(6): 1269 - 1277.
[Abstract] [Full Text] [PDF]

Home page
 BMJHome page
J. M Nicholson, L. C Kellar, and P. F Cronholm
How to prevent caesarean deliveries deserves more study
BMJ, April 2, 2005; 330(7494): 790 - 790.
[Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2004 by the American College of Obstetricians and Gynecologists.