DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20174128

Retrospective study of post term pregnancy and its outcome

Shetal Prajapati, Dolly Chavda

Abstract


Background: Post Term Pregnancy is one of the commonest obstetric conditions. Pregnancy is called term when it lies between 37 weeks to 42 weeks (259 to 294 days) from the last menstrual period. If the pregnancy exceeds this period (above 42 completed weeks) it is classified as post term pregnancy. The overall incidence of post term pregnancy is 10.0% of all pregnancies. We estimate the recent incidence of post-date in Obstetrics and Gynecology Department, P. D. U. medical college, Rajkot (Gujarat).

Methods: We are taking 500 cases of Post-date pregnancy (Retrospective cases) at P. D. U. Medical College, Rajkot (Gujarat) to know the method of induction, pregnancy outcome, maternal and Fetal complications.

Results: In present study, out of 500 patients, induction was done in 366 patients and number of normal delivery was 377 (75.4%), LSCS was 113 (22.6%) and 10 (2%) was instrumental delivery.

Conclusions: Post term pregnancies require early identification, effective and proper planned management. Rate of vaginal deliveries has increased due to effective Prostaglandins (PGs) and their easy availability.


Keywords


Dinoprostone gel, Induction of labour, Intra cervical Foley’s, Misoprostol, Post term pregnancy

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References


Olesen AW, Westergaard JG, Olsen J. Perinatal and maternal complications related to postterm delivery: A national register-based study, 1978-1993. Am J Obstet Gynecol. 2003;189:222 -7.

Caughey AB, Stotland NE, Washington AE. Maternal obstetric complications of pregnancy are associated with increasing gestational age at term. Am J Obstet Gynecol. 2007;196:155.e1-e6.

Divon MY, Haglund B, Nisell H, Otterblad PO, Westgren M. Fetal and neonatal mortality in the postterm pregnancy: the impact of gestational age and fetal growth restriction. Am J Obstet Gynecol. 1998;178 (4):726-31.

Van Eyk N, Allen LM, Sermer M, Davis VJ. Obstetric outcome of adolescent pregnancies. J Pediatr Adolescent Gynecol. 2000;13(2):96.

Savitz DA, Terry JW, Dole N. Comparison of pregnancy dating by last menstrual period, ultrasound scanning, and their combination. Am J Obstet Gynecol. 2002;187(6):1660-6.

Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Larry CG, Wenstrom KD. Post-term pregnancy. 23rd ed. In: William’s Obstetrics. New York: McGraw-Hill Companies; 2010:832-41.

Shinge N, Vijay Kumar MM, Prashanth S. Comparative Study of Material & Fetal Outcome in Pregnancies of Gestational Age 40 Completed Weeks and Beyond. J Evolut Medic Dental Sci. 2013;2(25):4509-15.

Alfirevic Z. Walinshaw, management of postterm pregnancy to induce or not. Br J Hosp Medi. 1994;52:218-221.

Farhat N, Amina J, Sara S, Altaf B, Amtullah Z. Neonatal Outcome in Post-term Pregnancy. PJMHSONLINE; 2009.