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Objectives: In France, close surveillance is recommended from 41 weeks of amenorrhea (WA) and induction of labor before 42 WA, with no clear consensus on a precise term. Our objective was to compare two systematic induction terms, 41WA+3 days versus 41WA+5. Method: A retrospective observational before-after study took place in our maternity ward. The first period ran from September to November 2017 with systematic induction at 41WA+3, the second from March to May 2018 with systematic induction at 41WA+5. The primary outcome was a composite criterion of perinatal morbidity. Results: We included 118 patients. There were less inductions for term only and more inductions for oligoamnios, decreased feeling of active fetal movement, fetal heart rate abnormalities, and premature rupture of the membranes in the after group (p<0.01). There was no significant difference in the cesarean section rate, color of amniotic fluid, perineal lesions, blood loss. There was also no difference between neonatal characteristics (birth weight, APGAR score, umbilical pH). Conclusion: In the after population, the caesarean section rate was not increased, the spontaneous labor rate was higher, and the neonatal state similar. The decrease of inductions for term only and the parallel increase of inductions for medical reasons shows that maternal and fetal monitoring has been systematic and rigorous. This study allows additional arguments to induce labor at 41WA+5. It confirmed the implementation of this new protocol in our maternity. *Correspondence to: Enora PARC, Hospital of the Eastern Paris Hospital Group, site Jossigny, France, Tel: 06 29 68 06 03, E-mail : enora.parc@gmail.com

clinical obstetrics, gynecology and reproductive medicine

Before-after study comparing systematic labour induction at 41 weeks of amenorrhea and 3 days versus 41 weeks of amenorrhea and 5 days in a maternity ward in France in 2017-2018