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Induction of labour for suspected macrosomia

Editor’s comment: Prof. Jim Thornton: Induction of labour for suspected macrosomia

A large trial from France and Switzerland has shown that a policy of labour induction between 37 and 39 weeks for suspected macrosomia reduces shoulder dystocia, birth trauma and does not increase caesarean delivery rates.

Boulvain, M et al. for the Groupe de Recherche en Obstétrique et Gynécologie (GROG) Induction of labour versus expectant management for large-for-date fetuses: a randomised controlled trial.  Lancet. Published online 8 April 2015

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Commentaries by Editor Prof. Jim Thornton