TY - JOUR T1 - For pregnant women near full term with intrauterine growth restriction, induction of labour does not affect risk of adverse neonatal outcome or caesarean section compared with expectant management JF - Evidence Based Nursing JO - Evid Based Nurs SP - 85 LP - 86 DO - 10.1136/ebn1161 VL - 14 IS - 3 AU - Janet Hirst Y1 - 2011/07/01 UR - http://ebn.bmj.com/content/14/3/85.abstract N2 - Commentary on: Boers KE, Vijgen SM, Bijlenga D, et al; DIGITAT study group. Induction versus expectant monitoring for intrauterine growth restriction at term: randomised equivalence trial (DIGITAT). BMJ 2010;341:c7087. ▪ No differences were found in relation to adverse neonatal outcomes, the rates of instrumental vaginal delivery or caesarean section for women with suspected intrauterine growth restriction (IUGR) who were induced and those who were managed expectantly.▪ These results suggest that women with suspected IUGR should be given the choice of the two care options.▪ As this is the first randomised controlled trial in this area, further studies are required to confirm the findings.▪ Further research is also needed to determine the most effective way of identifying IUGR. This study focused on pregnant women with a singleton fetus suspected of IUGR (failure to reach growth potential) between 36 and 41 weeks gestation. Comparisons between two forms of care, induction of labour versus expectant management with enhanced antenatal care, were needed to support obstetrician's decision making regarding mode … ER -