Induced labour for pre-eclampsia
Pre-eclampsia could prompt doctors to induce labour.
Women with mild or severe high blood pressure during pregnancy - a condition known as pre-eclampsia - should have labour induced after 37 weeks' gestation, according to a new study.

Pre-eclampsia is a potentially dangerous condition that develops in the second or third trimester of pregnancy and involves the development of high blood pressure and the presence of protein in the urine.

Dr. Corine M. Koopmans, from University Medical Center Groningen, the Netherlands, and colleagues assigned 756 women to induction of labour, using intravenous hormones or by breaking the water sac, or expectant management, in which obstetricians closely monitor the pregnancy. These women were drawn from an eligible group of 1153 women, of whom 397 refused to take part in the trial, permitted use of their medical records.

In women beyond 37 weeks' gestation, inducing labour cut the risks of severe high blood pressure and the need for caesarean section. No infants or mothers died in either group, Koopmans' team reports in The Lancet.

Based on the study, writes Dr. Donna D. Johnson, from the Medical University of South Carolina, Charleston, in a related editorial, inducing labor in women with high blood pressure during pregnancy "should be incorporated into clinical practice."

Would you induce your pregnancy after 37 weeks?

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