{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T17:58:31Z","timestamp":1757699911136},"reference-count":22,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2011,1,7]],"date-time":"2011-01-07T00:00:00Z","timestamp":1294358400000},"content-version":"vor","delay-in-days":5638,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[1995,8]]},"abstract":"<jats:p>Objective. In view of the increased risk of obstetric and perinatal complications in post\u2010term pregnancy, and the lack of consensus regarding clinical routines for fetal surveillance and labor induction, the aim of this prospective controlled study was to compare obstetric and perinatal outcome after serial monitoring until 43 weeks of gestation with that after labor induction at 42 gestational weeks.<\/jats:p><jats:p>Materials and methods. A study group of 193 gravidae scheduled for serial monitoring until 43 weeks of gestation was compared with a control group of 205 gravidae admitted for induction of labor at 42 weeks. A third, high\u2010risk, group comprised gravidae (from either of the foregoing groups) who had to be admitted for emergency induction of labor owing to increased fetal risk (i.e., the presence of oligohydramnios or a small\u2010for\u2010gestational\u2010age fetus).<\/jats:p><jats:p>Results. The frequency of labor induction was significantly lower in the study group than among controls (p &lt; 0.001), but the two groups did not differ in obstetric or perinatal outcome. As compared with these two low\u2010risk groups, the high\u2010risk group was characterized by significantly higher frequencies of instrumental delivery (p &lt; 0.01), operative delivery for fetal distress (p &lt; 0.001) and infants requiring neonatal intensive care (p &lt; 0.001).<\/jats:p><jats:p>Conclusion. As the wait\u2010and\u2010see policy with serial monitoring resulted in a lower rate of labor induction, but not in a lower rate of instrumental delivery or perinatal complication, medically the two routines would appear to be comparable. However, an individual approach with intensified fetal surveillance is to be recommended, as it is vital to identify post\u2010term pregnancies where the fetus is at increased risk. The use of such new techniques as umbilical artery flow velocimetry would no doubt improve the management of high\u2010risk post\u2010term pregnancies.<\/jats:p>","DOI":"10.3109\/00016349509013469","type":"journal-article","created":{"date-parts":[[2007,11,13]],"date-time":"2007-11-13T19:11:32Z","timestamp":1194981092000},"page":"599-603","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Serial antenatal monitoring compared with labor induction in post\u2010term pregnancies"],"prefix":"10.1111","volume":"74","author":[{"given":"Harald","family":"Almstr\u00f6m","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lena","family":"Granstr\u00f6m","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunver","family":"Ekman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,1,7]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(88)90150-0"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-198906000-00012"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(85)90291-1"},{"key":"e_1_2_1_5_1","first-page":"154","article-title":"Amniotic fluid volume in prolonged pregnancy","volume":"10","author":"Leveno K. 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