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

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

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	-	-

^aTraumatic neonatal lesions = fractures of the clavicle or brachial plexus, skull or facial injuries, facial paralysis, cephalohematoma, scalp lesions.
^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).
^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).

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