Maternal Outcome of Prolonged Pregnancy

Akhter, Parul; Sultana, Mehar; Hoque, Mahbuba; Sultata, Sharmin; Khatun, Mst Rahima; Dabee, Seema Rani

doi:10.3329/jbcps.v32i2.26033

Cited by 11 publications

(10 citation statements)

References 22 publications

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“…13 In the study by Akhtar P et al, caesarean section was done in view of fetal distress in 32% cases, non-progress of labour in 25.3% cases and failure of induction in 24% cases. 10 In this study most common (6%) complication was postpartum haemorrhage (PPH). Others were perineal tear in 5%, cervical tear in 2% of cases and shoulder dystocia was seen in 1%.…”

Section: Discussionmentioning

confidence: 73%

“…Akhtar P et al, observed in their study on pregnancy beyond 41 weeks of gestation that 82% of cases were in the age group of 18 to 29 years. 10,15 In study by Dobariya PV et al, there were 58 (69.05%) patients in age group 20 to 30 years, and in study by Patel N et al, there were 32 (64%) cases in age group 20 to 30 years. 11,12,16,17 Maximum women (68%) were primigravida in this study similarly Mahapatro et al, found maximum (72%) of patients were primigravida.…”

Section: Discussionmentioning

confidence: 96%

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Postdated pregnancy: its maternal and fetal outcome

Singh¹,

Misra²,

Srivastava³

2020

Int J Reprod Contracept Obstet Gynecol

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Background: Postdated pregnancy is one of the commonest obstetric conditions. Pregnancy is called term when it lies between 37 weeks to 42 weeks from the last menstrual period. If the pregnancy exceeds 40 weeks it is called as postdated pregnancy. The overall incidence of post term pregnancy is 7% of all pregnancies.Methods: This observational study was carried out in the department of obstetrics and gynecology in Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India from September 2019 to February 2020. Total 100 postdated pregnancy enrolled in the study those willing to participate and fulfilling the inclusion and exclusion criteria. Aim is to assess maternal and fetal outcome in postdated pregnancy.Results: In present study, incidence of postdated pregnancy was found to be 5% and number of normal deliveries was 66 (66%), LSCS were 32 (32%) and 2 (2%) were instrumental delivery. Maternal complications were seen in 14 (14%) cases and fetal complications were found in 23 (23%) cases.Conclusions: Postdated pregnancy was associated with perinatal complications like fetal distress, meconium aspiration syndrome and fetal asphyxia. There was increased risk of obstetrics complications like postpartum haemorrhage (PPH), perineal tear, cervical tear and shoulder dystocia. Management of postdated pregnancy is a challenge to obstetrician and a careful advice and monitoring can alleviate maternal anxiety and untoward complications.

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 96%

Postdated pregnancy: its maternal and fetal outcome

Singh¹,

Misra²,

Srivastava³

2020

Int J Reprod Contracept Obstet Gynecol

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“…This is similar to the study conducted by Akhter et al, where 51.8% of patients were multigravida. 17 Similarly, a study conducted by Naz et al has also shown that prolong pregnancy was more in multigravida (58.33%). 18 Several studies have shown that prolong pregnancy is associated with adverse fetomaternal outcomes which include NICU admission, pre-eclampsia, retained placenta, and increased risk of feto-maternal morbidity.…”

Section: Discussionmentioning

confidence: 88%

Study of the Feto-Maternal Outcomes at Late-Term Pregnancy in a Tertiary Level Hospital in Western Nepal

et al. 2022

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Introduction: The incidence of prolonged pregnancy is 7%. There is an increased risk to the fetus after 41 weeks of gestation due to a decrease in placental function, oligohydramnios, and meconium aspiration. The risk to the mother also increases leading to an increased incidence of cervical tear, perineal injury, labour dystocia, operative deliveries, and postpartum hemorrhage. Method: This was an observational, prospective cross-sectional study. A hundred and eleven women at and beyond 41 weeks of gestation fulfilling the inclusion criteria, were included in the study. Data entry and analysis were done using the latest SPSS software version 21 Fisher exact test was used and were depicted in tables, diagrams and charts as required. Result: Majority of the women had cesarean section 62.2% (n=69), 33.7% (n=37) delivered vaginally and 4.5% (n=5) had assisted vaginal delivery. The most common indication for cesarean section was meconium-stained liquor (20.3%, n=14). Only one woman had postpartum hemorrhage (PPH), one had retained placenta and one had pre-eclampsia. Altogether 10.8% (n=12) neonates needed admission. The adverse fetomaternal outcomes were similar in 41-41 6/7 weeks and completed 42 weeks and beyond the gestational age (p=0.64). Conclusion: Late-term pregnancy is associated with a higher incidence of cesarean section. However, there was no statistical difference in the feto-maternal outcome at 41-41 6/7 weeks and 42 and beyond weeks of gestation.

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“…This is comparable with multitude of studies who have reported that majority of postdated pregnancies belong to the age group of 20-30 years. [9][10][11][12] For instance; Singh et al, reported that 72% of their patients were belonging to the age group of 20-25 years, and 18% were belonging to the age group of 26-30 years. 11 The majority of patients (89.47%) in a study by Chhetri et al, were belonging to the age group of 20-35 years, which is compatible with our study.…”

Section: Discussionmentioning

confidence: 99%

Fetomaternal Outcomes of Postdated Pregnancy: A Prospective Observational Study

Banotra

Sharma

Farooq³

2023

Int J Res Rev

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Background: With increasing gestational age, the risk to the mother and the foetus increases. Our research aims to examine maternal and foetal outcomes in pregnancies that go over the scheduled delivery date in order to establish safe induction times and the most suitable delivery method. Method: This was a 6-month prospective observational study conducted in the Department of obstetrics and gynaecology, LD Hospital GMC Srinagar from July 2017 to December 2017. The patient provided written, fully informed consent. The non-random sampling strategy resulted in the inclusion of 100 patients in total. Results: We observed that with an average gestational age of (40.8±2.76) weeks, majority of our patients (77.8%) had gestational age of 40-41 weeks. Majority of our patients (65.6%) had NVD mode of delivery. Meconium stain liquor with fetal distress was indication for cesarean section for 29% of patients, followed by failure of induction as the cesarean indication for 25.8% patients. Respiratory distress syndrome was evident in 8.9%, meconium aspiration syndrome was found in 6.7% patients, 3.3% and there were two neonatal deaths. Conclusion: Fetal discomfort, meconium aspiration syndrome, and foetal hypoxia were all connected with postdated pregnancy among other perinatal issues. Postpartum haemorrhage (PPH), perineal tears, cervical tears, and shoulder dystocia were among the consequences of childbirth that were more likely to occur. Obstetricians find managing postdated pregnancies challenging, but with good advice and monitoring, they can reduce maternal anxiety and unfavourable outcomes. Keywords: Last menstrual period, Maternal complication, Postdated, Pregnancy outcome

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Maternal Outcome of Prolonged Pregnancy

Cited by 11 publications

References 22 publications

Postdated pregnancy: its maternal and fetal outcome

Postdated pregnancy: its maternal and fetal outcome

Study of the Feto-Maternal Outcomes at Late-Term Pregnancy in a Tertiary Level Hospital in Western Nepal

Fetomaternal Outcomes of Postdated Pregnancy: A Prospective Observational Study

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