| 3 | 足月宫内生长受限:引产还是等待自然分娩?足月宫内生长受限的干预试验(DIGITAT):一项预试验显示文摘Objective: To test the hypothesis that in pregnancies with a clinically suspected growth restricted foetus at term, induction of labour is as safe as expectant management, and does not lead to increased obstetrical interventions or perinatal morbidity. Study design: In one obstetric centre, 33 women with a clinically suspected growth restricted foetus at term were randomly allocated after stratification for parity to either induction or to expectant management. Obstetric and neonatal outcome variables were compared. Results: There was a lower gestational age at labour (median 380 weeks versus 401 weeks) with a corresponding tendency to lower birth weight (mean 2428 g versus 2651 g), and a reduced need for ante partum medical surveillance, in the induction group. No significant differences in obstetrical interventions (25% versus 24% ) and neonatal morbidity rates (50% versus 35% ) were found. Conclusion: A larger multicenter study with a sufficient power and long-term follow-up to decide the best policy for the term growth restricted foetus is feasible. | Van Den Hove M.M.L. Willekes C. Roumen F.J.M.E. Scherjon S.A. 朱磊 | 2006 | 世界核心医学期刊文摘(妇产科学分册)2006，0，8： | 0 |
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