title: [Management of pregnancies beyond forty-one week's gestation with an unfavorable cervix].
abstract: OBJECTIVE
  Our purpose was to determine the optimal management of pregnancies beyond 41 week's gestation with a cervix unfavorable for induction.
  
  
  METHODS
  All uncomplicated pregnancies that reached 41 weeks'gestation with a Bishop score of< or =4, were randomly assigned to one of two groups
  
  
  RESULTS
  The duration of labor was shorter in the group "prépidil" compared with the control group (P=0.002). Identification of an unfavorable cervix at 41 weeks was unlikely to change by 42 weeks and cervical ripening was required in 40% cases. There was no significant difference in caesarean section rates. Rates of admission into the neonatal unit and fetal outcomes were similar in the two groups.
  
  
  CONCLUSIONS
  Cervical ripening with prostaglandin gel at 41 week's gestation for uncomplicated singleton pregnancies is safe and should be advocated.
authors.affiliation: Service de Gynécologie-Obstétrique, CHU Farhat Hached, Sousse, Tunisie.
authors.forename: W
authors.initials: W
authors.lastname: Sahraoui
authors.forename: S
authors.initials: S
authors.lastname: Hajji
authors.forename: M
authors.initials: M
authors.lastname: Bibi
authors.forename: M
authors.initials: M
authors.lastname: Nouira
authors.forename: H
authors.initials: H
authors.lastname: Essaidi
authors.forename: H
authors.initials: H
authors.lastname: Khairi
mesh_terms: D020070:Cervical Ripening / Q000187:drug effects; D002584:Cervix Uteri / Q000502:physiology*; D015232:Dinoprostone / Q000008:administration & dosage; D005260:Female; D005320:Fetal Macrosomia / Q000453:epidemiology; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D007902:Length of Stay; D011247:Pregnancy; D011256:Pregnancy Outcome; D011273:Pregnancy, Prolonged
chemical_list: D015232:Dinoprostone