After 40 Weeks of Pregnancy, Risk of Stillbirth Rises
When pregnancies final for 40 weeks or longer, there is a rise within the danger of stillbirth and neonatal demise, a big evaluate of research has discovered. The meta-analysis additionally discovered that prolonging being pregnant past 40 weeks didn’t scale back the danger for demise within the child’s first month of life.
Current follow within the United States is to induce labor at 41 weeks.
The British evaluate, revealed in PLOS Medicine, mixed information from 13 research of stillbirth and neonatal demise involving greater than 15 million pregnancies.
The researchers discovered that stillbirths steadily rose with gestational age, from zero.11 per thousand births at 37 weeks to three.18 per thousand at 42 weeks.
The danger of neonatal demise didn’t change between 38 and 41 weeks, however at 41 weeks or extra the relative danger of a child’s demise within the first month elevated barely in contrast with 40 weeks.
“Women need to be aware that there is a small but increasing risk after 40 weeks of gestation,” mentioned the senior creator, Shakila Thangaratinam, a professor at Queen Mary University of London. “But induction is a medical procedure that some mothers won’t want. We have to give mothers the information that empowers them to make a decision. We want to promote joint decision making between mother and doctor.”