No. 214-Guidelines for the Management of Pregnancy at 41+0 to 42+0 Weeks

J Obstet Gynaecol Can. 2017 Aug;39(8):e164-e174. doi: 10.1016/j.jogc.2017.04.020.


Objective: To provide evidence-based guidelines for the management of pregnancy at 41+0 to 42+0 weeks.

Outcomes: Reduction of perinatal mortality associated with Caesarean section at 41+0 to 42+0 weeks of pregnancy.

Evidence: The Medline database, the Cochrane Library, and the American College of Obstetricians and Gynecologists and the Royal College of Obstetricians and Gynecologists, were searched for English language articles published between 1966 and March 2007, using the following key words: prolonged pregnancy, post-term pregnancy, and postdates pregnancy. The quality of evidence was evaluated and recommendations were made according to guidelines developed by the Canadian Task Force on Preventive Health Care.

Keywords: Labour; induction; post-term pregnancy; postdates pregnancy.

Publication types

  • Practice Guideline

MeSH terms

  • Canada
  • Cesarean Section*
  • Evidence-Based Medicine
  • Female
  • Fetal Monitoring*
  • Gestational Age
  • Humans
  • Infant, Newborn
  • Labor, Induced*
  • Perinatal Mortality*
  • Pregnancy
  • Pregnancy Trimester, First
  • Pregnancy Trimester, Second
  • Pregnancy, Prolonged / therapy*
  • Ultrasonography, Prenatal