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Pregnant Women beyond the date of birth. will be followed while coming to routine monitoring. physiological parameter of cervical length will be measured as the differential predictor to determine their due date. the cervical length will be measured as part of routine gynecologic examination to women who come for routine over due date follow up.
additional medical data will be collected from the patient medical record.- demographic data, and all the routine prenatal medical care the women will receive up to the delivery.and delivery outcomes.
The clinical part of the study: the first visit of pregnancy monitoring is carried out at 40 full weeks. First visit to make sure the gestational age to receive full medical anamnesis , perform physical examination and vaginal and NST and BPP. Also, assess the clinical weight and when the need arises assessment of weight sonography. monitoring fetal movements . The women are ordered to return for routine check ups every 3 days. from - 41 full weeks the women should come every two days and 42 weeks should be referred for induction. In practice, the women offered induction at 41 weeks + 3 or 4 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cervical length in pregnant women. | Pregnant Women beyond the date of birth in conservative monitoring and prenatal follow-up. will be followed while coming to routine monitoring. physiological parameter of cervical length will be measured as the differential predictor to determine their due date. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cervical length in pregnant women. | Other | Pregnant Women beyond the date of birth. will be followed while coming to routine monitoring. physiological parameter of cervical length will be measured as the differential predictor to determine their due date. the cervical length will be measured as part of routine gynecologic examination to women who come for routine over due date follow up. additional medical data will be collected from the patient medical record.- demographic data, and all the routine prenatal medical care the women will receive up to the delivery.and delivery out comes. |
| Measure | Description | Time Frame |
|---|---|---|
| Time interval between measurement of cervical length and delivery | According to our local protocol post date surveillance is stated from 40+0 weeks of gestation. Each gravida undergoes vaginal examination using sonographic measurement of cervical length(in mm) using trans-vaginal sonar. | 2 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Delivery with in 48 hours | 48 hours | |
| Delivery with in 7 days | 7 days | |
| Necessity of labor induction duo to post date |
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Inclusion Criteria:
Exclusion Criteria:
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Pregnant Women beyond the date of birth in conservative monitoring and prenatal follow-up.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| yariv yogev, professor | Contact | 97236925603 | yarivy@tlvmc.gov.il |
| Name | Affiliation | Role |
|---|---|---|
| yariv yogev, professor | Tel Aviv Medical Center | Principal Investigator |
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| ID | Term |
|---|---|
| D011273 | Pregnancy, Prolonged |
| ID | Term |
|---|---|
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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yes or no. documenting what kind of induction performed. |
| 2 weeks |