Description of the Clinical Practice Change
In collaboration with Monash Health, we amended the Monash Health Prolonged pregnancy guideline to include a specific pathway for women who were of South Asian background (based on women self-identifying their background regardless of where they were born). The original clinical guideline recommended twice weekly fetal surveillance with cardiotocography (CTG) and measurement of amniotic fluid at 41 weeks gestation. Our change to the guideline recommended that takes place from 39 weeks’ gestation for women born in South Asia. The fetal surveillance monitoring remained unchanged for all other women. For all women, including south Asian women, an induction of labour is recommended from 41 weeks and close to 42 weeks unless sooner as clinically indicated. The clinical guideline is provided as Appendix 1.