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Table 5 Neonatal morbidity and mortality according to policy of induced labor at term among LGA fetuses

From: Does induction of labor for constitutionally large-for-gestational-age fetuses identified in utero reduce maternal morbidity?

Fetuses suspected to be large for gestational age Induction of labor between 37 and 38 weeks+6 d(n = 199)% Expectant management (n = 2878)% Crude RR (95% CI) Adjusted RR (95% CI)
Resuscitation in delivery room or death in delivery room or immediate postpartum or neonatal transfer (n = 199) (n = 2878)   
8.5 10.0 0.86 (0.54-1.37) 0.94 (0.59 -1.50)b
Neonatal trauma a (n = 136) 8.1 (n = 2042) 6.0 1.35 (0.75-2.45) 1.53 (0.84-2.79)c
  Fractured clavicle 4.1 3.0   
  Brachial plexus 2.0 0.3   
  Other 2.0 2.7   
5-min Apgar: (n = 198) (n = 2766)   
  ≤ 4 0 0.3 - -
  < 7 0 0.7 - -
  1. aTraumatic neonatal lesions = fractures of the clavicle or brachial plexus, skull or facial injuries, facial paralysis, cephalohematoma, scalp lesions.
  2. bRR adjusted for uterine scar, pregnancy-related disease other than women with a suspected large-for-gestational-age fetus, cesarean during labor, operative vaginal delivery and birth weight (<4000 g vs. ≥ 4000 g).
  3. cRR adjusted for pregnancy-related disease other than women with a suspected large-for-gestational-age fetus, cesarean during labor and birth weight (<4000 g vs. ≥ 4000 g).