Maternal and perinatal outcomes after implementation of a more active management in late- and postterm pregnancies in Sweden: A population-based cohort study
A more active management of pregnancies lasting 41+0 weeks or more was associated with a decrease in peri/neonatal deaths, and a decrease in composite adverse peri/neonatal outcomes. Increased rate of emergency cesarean sections was observed. Women with pregnancies advancing towards 41 gestational weeks should be given balanced information on the benefits and risks of induction of labour at 41 weeks compared to expectant management until 42 weeks and be offered induction of labour at 41 weeks or active surveillance of pregnancies from 41 weeks in order to decrease peri/neonatal mortality.
Authors
- Mikael Norman (ORCID: https://orcid.org/0000-0003-4191-3781)
- Verena Sengpiel (ORCID: https://orcid.org/0000-0002-3608-7430)
- Charlotte Elvander (ORCID: https://orcid.org/0000-0003-1401-1539)
- Henrik Hagberg (ORCID: https://orcid.org/0000-0003-3962-1448)
- Karin Källén (ORCID: https://orcid.org/0000-0001-5765-2630)
- Teresia Svanvik (ORCID: https://orcid.org/0000-0003-1947-679X)
- Christina Bergh (ORCID: https://orcid.org/0000-0001-6049-7731)
- Ulla‐Britt Wennerholm (ORCID: https://orcid.org/0000-0003-2475-2226)
Institutions
- Karolinska University Hospital (SE)
- Lund University (SE)
- Sahlgrenska University Hospital (SE)
- Karolinska Institutet (SE)
- Region Västra Götaland (SE)
- University of Gothenburg (SE)
Publication Details
- Journal
- PLoS Medicine
- Published
- 2025-01-16
- DOI
- https://doi.org/10.1371/journal.pmed.1004504
- Citations
- 7
- Primary Topic
- Maternal and Perinatal Health Interventions
- Type
- article
- Field-Weighted Citation Impact
- 14.40
Funders
- Stiftelsen Handlanden Hjalmar Svenssons