title: Neonatal morbidity after induction vs expectant monitoring in intrauterine growth restriction at term: a subanalysis of the DIGITAT RCT.
abstract: OBJECTIVE
  The Disproportionate Intrauterine Growth Intervention Trial at Term (DIGITAT) compared induction of labor and expectant management in suspected intrauterine growth restriction (IUGR) at term. In this subanalysis, we report neonatal morbidity between the policies based on the Morbidity Assessment Index for Newborns (MAIN).
  
  
  METHODS
  We used data from the DIGITAT. For each neonate, we calculated the MAIN score, a validated outcome scale.
  
  
  RESULTS
  There were no differences in mean MAIN scores or in MAIN morbidity categories. We found that neonatal admissions are lower after 38 weeks' gestational age compared with 36 and 37 weeks in both groups.
  
  
  CONCLUSIONS
  The incidence of neonatal morbidity in IUGR at term is comparable and relatively mild either after induction or after an expectant policy. However, neonatal admissions are lower after 38 weeks of pregnancy, so if induction to preempt possible stillbirth is considered, it is reasonable to delay until 38 weeks, provided watchful monitoring.
authors.affiliation: Bronovo Hospital, The Hague, The Netherlands. kboers@bronovo.nl
authors.forename: Kim E
authors.initials: KE
authors.lastname: Boers
authors.forename: Linda
authors.initials: L
authors.lastname: van Wyk
authors.forename: Joris A M
authors.initials: JA
authors.lastname: van der Post
authors.forename: Anneke
authors.initials: A
authors.lastname: Kwee
authors.forename: Maria G
authors.initials: MG
authors.lastname: van Pampus
authors.forename: Marc E A
authors.initials: ME
authors.lastname: Spaanderdam
authors.forename: Johannes J
authors.initials: JJ
authors.lastname: Duvekot
authors.forename: Henk A
authors.initials: HA
authors.lastname: Bremer
authors.forename: Friso M C
authors.initials: FM
authors.lastname: Delemarre
authors.forename: Kitty W M
authors.initials: KW
authors.lastname: Bloemenkamp
authors.forename: Christianne J M
authors.initials: CJ
authors.lastname: de Groot
authors.forename: Christine
authors.initials: C
authors.lastname: Willekes
authors.forename: Monique
authors.initials: M
authors.lastname: Rijken
authors.forename: Frans J M E
authors.initials: FJ
authors.lastname: Roumen
authors.forename: Jim G
authors.initials: JG
authors.lastname: Thornton
authors.forename: Jan M M
authors.initials: JM
authors.lastname: van Lith
authors.forename: Ben W J
authors.initials: BW
authors.lastname: Mol
authors.forename: Saskia
authors.initials: S
authors.lastname: le Cessie
authors.forename: Sicco A
authors.initials: SA
authors.lastname: Scherjon
mesh_terms: D000328:Adult; D005260:Female; D005317:Fetal Growth Retardation / Q000453:epidemiology*; D005865:Gestational Age; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D007751:Labor, Induced / Q000706:statistics & numerical data*; D009017:Morbidity; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011446:Prospective Studies; D057832:Watchful Waiting / Q000706:statistics & numerical data*; D055815:Young Adult