Einfluss der Leitlinie zum Vorgehen bei Terminüberschreitung auf den klinischen Alltag

Kehl S, Kupprion C, Weiss C, Temerinac D, Suetterlin M (2015)

Publication Type: Journal article, Original article

Publication year: 2015

Journal

Zeitschrift für Geburtshilfe und Neonatologie Georg Thieme Verlag

Book Volume: 219

Pages Range: 87-91

Journal Issue: 2

DOI: 10.1055/s-0034-1390415

Abstract

Many international guidelines recommend induction of labour beyond 41 weeks to reduce perinatal morbidity and mortality. In 2010, a new German guideline with this recommendation was published. The aim of this study was to investigate whether this recommendation influenced clinical outcome.All cases with induction of labour beyond 40 weeks in 2008, 2009, 2011 and 2012 were examined. Multiple pregnancy and Caesarean section in the case history were exclusion criteria. The years before publication of the new German guideline (2008 and 2009) were compared with those afterwards (2011 and 2012) with regard to several outcome parameters like rate of labour induction, efficacy of induction of labour and foetal outcome.After publication of the guideline there were more inductions of labour undertaken (300 [11.2%] vs. 472 [15.4%], p<0.0001) with less pregnancies beyond 42 weeks (9 [3%] vs. 5 [1%], p=0.0489). However, there was no difference concerning the efficacy of induction of labour, e. g., the ratio of Caesarean sections was not increased. There was no impairment of foetal outcome, in contrast, the ratio of postpartal admission to NICU was decreased (42 [14.2%] vs. 31 [6.7%], p=0.0006).The new recommendation of the German guideline to induce labour beyond 41 weeks leads to more cases with induction of labour without any negative impact on its efficacy or foetal outcome.

Authors with CRIS profile

Sven Kehl Department of Obstetrics and Gynaecology

Involved external institutions

Universitätsklinikum Mannheim DE Germany (DE)

How to cite

APA:

Kehl, S., Kupprion, C., Weiss, C., Temerinac, D., & Suetterlin, M. (2015). Einfluss der Leitlinie zum Vorgehen bei Terminüberschreitung auf den klinischen Alltag. Zeitschrift für Geburtshilfe und Neonatologie, 219(2), 87-91. https://doi.org/10.1055/s-0034-1390415

MLA:

Kehl, Sven, et al. "Einfluss der Leitlinie zum Vorgehen bei Terminüberschreitung auf den klinischen Alltag." Zeitschrift für Geburtshilfe und Neonatologie 219.2 (2015): 87-91.

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