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.