Postdated pregnancy: its maternal and fetal outcome

Singh, Neetu; Misra, Devyani; Srivastava, Shubhi

doi:10.18203/2320-1770.ijrcog20203299

Cited by 9 publications

(20 citation statements)

References 10 publications

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“…21 Singh N et al in 100 post dated deliveries studied that c-section and instrumental delivery was performed in 32% and 2 % respectively. 22 Our study showed even higher rate of LSCS of 40.13 % and 2 % of instrumental delivery. Fetal distress with meconium-stained liquor was observed as the most common indications for caesarean Section (36.06%) followed by oligohydramnios (29.22%) and failed induction (21.31%).…”

Section: Resultssupporting

confidence: 42%

Maternal and Fetal Outcome in Pregnancy Beyond the Expected Date of Delivery in a Tertiary Care Hospital of Nepal

Chhetri

Shrestha²,

Shrestha³

et al. 2022

JCMC

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Background: The risk to the mother and the fetus increase with advancing gestation age. Our study aims to study the maternal and fetal outcome in pregnancy extending beyond the expected date of delivery so that safe timings of induction and appropriate mode of delivery can be determined. Methods: We conducted a retrospective study of 152 patients with pregnancy beyond the expected date who presented to the department of Obstetrics and Gynecology, College of Medical Sciences Teaching Hospital from the time period of October 2019- November 2021.The primary outcome measures were obtained in terms of rate of cesarean section, postpartum hemorrhage, wound infection, admission in neonatal intensive care unit, birth asphyxia and meconium aspiration syndrome. Statistical analysis was performed using Chi-square test with P value <0.05. Results: The majority of 86 (56.58%) patients were between 40-41 weeks of gestation. Maximum number of vaginal deliveries were seen between 40-41weeks (77.90%). Overall cesarean section rate was 40.13% with maximum number between 41-42 weeks (64.28%). Fetal distress with meconium-stained liquor was the most common indication (36.06%). The rate of neonatal intensive care unit admission was 16.44% with birth asphyxia (12.50%) and meconium aspiration syndrome (8.55%) as the primary cause for admission. Maternal complications like oligohydramnios, postpartum hemorrhage, wound infection, cervical tear, shoulder dystocia was seen in 16.45%, 1.97%, 1.97%, 2.63% and 1.31% respectively. Conclusions: The pregnancy beyond the expected date causes definite risk to the mother and the fetus. Therefore, strict fetal surveillance with early induction of labor prior to expected date of delivery is recommended for better fetomaternal outcomes.

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Section: Resultssupporting

confidence: 42%

Maternal and Fetal Outcome in Pregnancy Beyond the Expected Date of Delivery in a Tertiary Care Hospital of Nepal

Chhetri

Shrestha²,

Shrestha³

et al. 2022

JCMC

View full text Add to dashboard Cite

show abstract

“…Similarly, a study done in Lucknow, India also showed that the maximum (81%) was in 40 weeks to 41 weeks of gestation. 3 Another study done in Nagpur, India showed that majority of the mothers (69.8%) were also in 40 -41 weeks of gestation. 8 In contrast to the study's finding, a study conducted in Ahemdabad, India, revealed that more than half of the mothers 54.76 % were more than 41 weeks of gestation.…”

Section: Discussionmentioning

confidence: 97%

“…8 In the present study, indications for caesarean section was fetal distress in 53.3% mothers, non-progress of labor in 13.3 % cases, cephalopelvic disproportion in 10% cases, severe oligohydramnios in 11.6% cases and failure of induction in 11.6% mothers.The indications of caesarean section in the study is similar with a study done in Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, where indication for caesarean section was meconium stained liquor with fetal distress in (26%) cases, failure of induction in (21%) cases , cephalo-pelvic disproportion in (16%) cases, severe oligohydramnios in (19%) and nonprogress of labor in (15%) cases. 3 Another study done in Jammu resulted that indication for caesarean section was failure of induction in 33.3% cases, fetal distress in 19.3% cases, non-progress of labor in 14.2% of cases cephalopelvic disproportion in 9.5% cases. 10 Nearly similar findings were noted in a study done in Wardha India which showed that the indication for caesarean section were fetal distress in 23.53% cases, failure of induction in 20.59% cases, cephalopelvic disproportion in 17.65% cases, non-progress of labor in 14.71% of cases.…”

Section: Discussionmentioning

confidence: 98%

“…Similarly, a study done in Lucknow, India found that majority patients (53.7%) underwent spontaneous vaginal delivery, while and 37% patients required caesarean section as mode of delivery. 3 Another study done in Karnataka, India showed that 32% had undergone caesarean section. 9 Similar to the findings, a study done in Uttar Pradesh, India also showed that 42.30% had caesarean section while remaining 57.7% had normal vaginal delivery.…”

Section: Discussionmentioning

confidence: 99%

“…2 Some risk with post term pregnancy are like parity, maternal age, past history of post term pregnancy, genetics and obesity. 3 It has been reported that in a pregnancy that goes beyond 40 weeks, there is an increased risk of oligohydramnios, meconium stained amniotic fluid, macrosomia and fetal post maturity syndrome. 4 Furthermore, postdated infants have lower Apgar scores and meconium aspiration and are often admitted to NICU.…”

Section: Introductionmentioning

confidence: 99%

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Maternal and Fetal Outcomes in Uncomplicated Postdated Pregnancy

Bhandari¹,

Sharma²,

Subedi³

2022

jhas

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Introduction: A pregnancy that lasts beyond the expected date of delivery is called as postdates pregnancy. Postdates pregnancy is associated with an increased risk of fetal, neonatal mortality and morbidity as well as an increased maternal morbidity. Methods: A cross sectional study was conducted among 196 uncomplicated postdates pregnancies in two tertiary care centers i.e. Manipal Teaching Hospital and Gandaki Medical College, Pokhara, Nepal. The aim of the study was to assess the maternal and fetal outcomes in uncomplicated postdates pregnancy. The data was collected by using structured interview schedule and entered in MS excel with validated command and analyzed with SPSS version 16. Results: In the study, out of 196 postdates pregnancies, 30.6 % of the mothers had undergone caeserean section 3.06 had an instrumental delivery and 1.5% had traumatic delivery. Further 5.61 % of the mothers had postpartum hemorrhage. A total 3.8 % of the neonates were admitted to the NICU and 1.5 % of the neonates were resuscitated. Conclusion: The study concluded that postdates pregnancy was associated with perinatal complications like postpartum hemorrhage (PPH), an increase in incidence of caesarean section and admission of neonates to NICU. Careful advice and monitoring can alleviate maternal and fetal untoward complications.

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Feto-maternal outcome in early-term, full-term, late-term and post-term pregnancies at a tertiary centre in India

Agrawal¹,

Modi

2023

Int J Reprod Contracept Obstet Gynecol

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Background: The risk of perinatal complications does not remain consistent over the 5-week period between 37-42 weeks taken as ‘term pregnancy’. The American college of obstetrics and gynecology (ACOG) has further classified this period into early-term (37-38+6 weeks), Full-term (39-40+6 weeks) and late-term (41-41+6 weeks), besides post-term (>42 weeks). The present study evaluates the feto-maternal outcomes in deliveries at various term gestations as per this new classification in Indian settings. Methods: This is a retrospective record-based study of women delivering at a tertiary care medical college hospital in central India between 1st January 2014 and 31st December 2017. Low risk spontaneous deliveries with confirmed gestational age 37 completed weeks or more, with single fetus in vertex presentation were analyzed. Those with incomplete records or complications such as preeclampsia, gestational diabetes mellitus, heart disease, antepartum hemorrhage, etc. were excluded. Results: Out of 1498 case-records that satisfied the criteria, 722 (48.2%) were early term (ET); 690 (46.1%) were full term (FT); 76 (5%) were late term (LT) and 10 (0.7%) were post term (PT). A significantly higher proportion of women who delivered post-term were from rural area, lacked institutional antenatal care visits and had lesser formal education. Caesarean section (CS) rate was significantly higher in the PT group (60%) compared to the groups ET (40.9%), FT (39.7%), and LT (39.5%). The PT group also had a significantly higher rate of meconium-stained liquor (MSL), APGAR<7 and still birth rate. The maternal and fetal parameters were not significantly different between the ET, FT and LT groups except birth weight (BW). Conclusions: The post-term pregnancies have a higher risk of MSL, still birth, APGAR <7, and delivery by CS. Women with lesser education, those from rural areas and who have not received institutional antenatal care are more likely to report in late and PT. Larger studies in our settings are needed to evaluate and compare the maternal and fetal outcomes in pregnancies delivering at ET, term and PT gestations.

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Postdated pregnancy: its maternal and fetal outcome

Cited by 9 publications

References 10 publications

Maternal and Fetal Outcome in Pregnancy Beyond the Expected Date of Delivery in a Tertiary Care Hospital of Nepal

Maternal and Fetal Outcome in Pregnancy Beyond the Expected Date of Delivery in a Tertiary Care Hospital of Nepal

Maternal and Fetal Outcomes in Uncomplicated Postdated Pregnancy

Feto-maternal outcome in early-term, full-term, late-term and post-term pregnancies at a tertiary centre in India

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