PEARLS FROM THE TORRES STRAIT AND NORTHERN PENINSULA AREA
Does induction of labour prevent shoulder dystocia?
Posted On July 2, 2017
Early IOL for women with suspected fetal macrosomia,who do not have gestational diabetes,does not improve either maternal or fetal outcome.(Evid level 4)
In women with gestational diabetes, the incidence of SD is reduced with early IOL.(Evid level 2+)
The NICE diabetes guideline recommends that pregnant women with diabetes who have a normally grown fetus should be offered elective birth through IOL,or by elective CS if indicated, after 38 completed weeks
Infants of diabetic mothers have a 2-4 fold increased risk of SD compared with infants of the same birth weight born to non diabetic mothers.
IOL does not prevent SD in non-diabetic women with a suspected macrosomic fetus.(Recommendation Level D)
IOL at term can reduce the incidence of SD in women with GDM.(Recommendation Level B)
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BSc, MBBS(Hons), FRACGP, FARGP.
Background in the Australian Defence Force RAAMC, Royal Flying Doctor Service and Emergency Medicine. Robin enjoys medical education, systems of primary health care delivery and op-shopping.