The goal of the study is to determine whether labor induction at 37 weeks of pregnancy can improve the baby's health at birth when compared with delivery at a later point in the pregnancy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
21
Diagnosis of FGR with induction at 37 weeks 0 days of gestation to 37 weeks and 6 days
Diagnosis of FGR managed with expectant monitoring and delivery as indicated
Memorial Hermann Memorial City Medical Center
Houston, Texas, United States
The University of Texas Health Science Center at Houston
Houston, Texas, United States
Bellaire - Memorial Hermann
Houston, Texas, United States
Number of children with birthweight less than the third percentile for gestational as assessed by NICHD nomograms
NICHD is National Institute of Child Health and Human Development The NICHD nomogram will indicate their birth weight percentile based on their gestational age and ethnicity
Time frame: Immediately at birth
Number of children presenting with CNM
Composite neo-natal morbidity (CNM) is any of the following: Apgar score \<5 at 5 minutes, seizure, sepsis, hypoglycemia requiring intravenous treatment, mechanical ventilation, CPAP (continuous positive airway pressure) or high-flow nasal cannula for \>2 hours, oxygen supplementation with FiO2 (fraction of inspired oxygen) \>30% for \>4 hours, death before discharge or IUFD (intrauterine fetal death).
Time frame: Up to 6 weeks after delivery
Number of women presenting with CMM
Composite maternal morbidity (CMM) is any of the following: chorioamnionitis, transfusion of blood products, endometritis, wound infection or separation, deep venous thrombosis, pulmonary embolism, admission to the intensive care unit, or death. Rates of cesarean section as well as indications in each group will also be evaluated.
Time frame: Up to 6 weeks after delivery
Number of children delivered by cesarean section
Time frame: Immediately at birth
Number of children admitted to NICU
NICU is neo-natal intensive care unit
Time frame: Up to 6 weeks after delivery
Number of children presenting with SGA
SGA is small for gestational age when birthweight \<10% for gestational age
Time frame: Immediately at birth
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