Elective delivery at term after a previous unexplained intra-uterine fetal death : audit of delivery outcome at Tygerberg Hospital, South Africa
| dc.contributor.author | Gebhardt, Stefan | en_ZA |
| dc.contributor.author | Oberholzer, Leana | en_ZA |
| dc.date.accessioned | 2016-08-23T12:31:02Z | |
| dc.date.available | 2016-08-23T12:31:02Z | |
| dc.date.issued | 2015 | |
| dc.description | CITATION: Gebhardt, S. & Oberholzer, L. 2015. Elective delivery at term after a previous unexplained intra-uterine fetal death: audit of delivery outcome at Tygerberg Hospital, South Africa. PLoS ONE, 10(6):1-11, doi:10.1371/journal.pone.0130254. | |
| dc.description | The original publication is available at http://journals.plos.org/plosone | |
| dc.description.abstract | Objectives: To assess the delivery outcome in a pregnancy with a previous unexplained intra-uterine death by elective induction of labour at term. Methods: An audit of the pregnancy outcome of all women within the catchment area with a current singleton pregnancy; and a previous unexplained or unexplored singleton fetal demise ≥24 weeks (or 500 grams birth weight if gestation unknown) after planned routine induction of labour at full term (39-40 weeks). Results: During the audit period, 306 patients with a previous intra-uterine fetal death were referred for further management. Of these, 161 had a clear indication for earlier intervention and were excluded from the protocol. Of the remaining 145 patients, 9 met further exclusion criteria and there were 2 patients who defaulted. Forty-two of the remaining study patients (with no known previous medical problems) developed complications during their antenatal course that necessitated a change in clinical management and earlier (<39 weeks) delivery. Of the remaining 92 patients in the audit, 47 (51%) went into spontaneous labour before their induction date; all 92 women delivered without major complications. There were no intra-uterine deaths prior to induction. Conclusions: Careful follow up at a high risk clinic identifies new or concealed maternal or fetal complications in 29% of patients with a previous intra-uterine death and no obvious maternal or fetal disease in the index pregnancy. When all risks are excluded and the pregnancy allowed to progress to full term (39-40 weeks) before an induction is offered, 50% will go into spontaneous labour. | en_ZA |
| dc.description.abstract | AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar | af_ZA |
| dc.description.uri | http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0130254 | |
| dc.description.version | Publisher's version | |
| dc.format.extent | 11 pages | en_ZA |
| dc.identifier.citation | Gebhardt, S. & Oberholzer, L. 2015. Elective delivery at term after a previous unexplained intra-uterine fetal death: audit of delivery outcome at Tygerberg Hospital, South Africa. PLoS ONE, 10(6):1-11, doi:10.1371/journal.pone.0130254 | |
| dc.identifier.issn | 1932-6203 (online) | |
| dc.identifier.other | doi:10.1371/journal.pone.0130254 | |
| dc.identifier.uri | http://hdl.handle.net/10019.1/99446 | |
| dc.language.iso | en_ZA | en_ZA |
| dc.publisher | Public Library of Science | en_ZA |
| dc.rights.holder | Authors retain copyright | en_ZA |
| dc.subject | Stillbirth | en_ZA |
| dc.subject | Perinatal death | en_ZA |
| dc.subject | Surgery, Elective | en_ZA |
| dc.subject | Delivery (Obstetrics) | en_ZA |
| dc.title | Elective delivery at term after a previous unexplained intra-uterine fetal death : audit of delivery outcome at Tygerberg Hospital, South Africa | en_ZA |
| dc.type | Article | en_ZA |