Title: Maternal and Fetal Outcome in Postdated Pregnancies
Author: Dr Shazia Nisar
DOI: https://dx.doi.org/10.18535/jmscr/v9i2.41
Abstract
Prolonged pregnancy is one that extends beyond expected date of delivery >42 weeks.
It causes lot of maternal and fetal complications because of placental ischemia, macrosomia, uteroplacental insufficiency, that in turn increase fetal morbidity.
Methodology and Results: It is a retrospective study done over a period of one year in skims. Prevelance of postdated pregnancies in our study was 20%
It was more in age group of 30-40 years, more in multiparas. Maternal morbidity like PPH, shoulder dystocia, cervical tear, cesarean delivery was more in postdated pregnancies. Fetal complications like meconium aspiration syndrome, intrauterine fetal death, NICU admission was more in postdated pregnancies.
Conclusion: Proper supervision of pregnancies should be done so that they are not allowed to run past EDD. Furthermore postdated pregnancies should be delivered in hospital equipped with electronic fetal monitoring, so that timely detection of any fetal or maternal complication can be done and timely action can be taken.
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