Fetomaternal Outcome in Post Dated Pregnancy: A Retrospective Study

Abstract

Introduction: Postdated pregnancy is defined as pregnancy extended beyond 40 weeks of gestation or 280 days. FIGO and WHO defined post term pregnancy as a pregnancy which has gestational length of 294 days or more, Post term pregnancy is defined as pregnancy that has extended to or beyond 42 weeks of gestation, or estimated date of delivery (EDD)+14 days. Therefore we conducted this study to evaluate fetomaternal outcome in post dated pregnancies.
 Material & Methods: This was a retrospective hospital based study conducted on 400 pregnant women beyond 40 weeks of gestational age from the period of November 2018 to October 2019. A detailed history and clinical examination were recorded in performa from hospital records. Data pertaining to the onset of labour, mode of delivery, caesarean section due to fetal distress/ meconium stained liquor birth weight, Apgar score at 1minute and 5minute,NICU admission and perinatal death were analysed. The data obtained were entered in Microsoft excel and were analysed using appropriate statistical test (chi square test). P value of <0.05 was taken as significant.
 Results: Majority of cases belonged to rural area where total 57.3% cases were found while 171(42.7%) cases belonged to urban area. 184(46%) cases were booked and 216(54%) cases were unbooked. 260(65%) cases were referred from other centers, 140(35%) cases were not referred. 253(63.3%) cases were primigravida, 87(21.8%) cases were second gravida and 14.9% cases were multigravida.As a induction of labour oxytocin was used in 126(31.5%)cases, CP gel was used in 73(18.3%) of cases while miso was used in 26(6.5%) of cases.
 Conclusion: Maternal morbidity increased in the form of emergency LSCS, postpartum hemorrhage, instrumental deliveries, as the gestational age increased beyond 40 weeks. Maternal and fetal morbidity and mortality can be reduced by electively inducing pregnant women at 40 weeks as allowing them to continue beyond this gestational age has shown adverse feto-maternal outcomes.
 Keywords: Fetomaternal, LSCS, Maternal Morbidity

The fetomaternal outcome in case of post-dated pregnancy at tertiary care center

“…In the study done by Kandalgaonkar et al and Agarwal et al similar results were found where majority had bishop's score <4. 16,17 In this study, 43% cases delivered with spontaneous onset of labour and 57% cases were induced. Induction of labour is more likely to succeed when the cervix is favourable.…”

Fetomaternal Outcome Among the Pregnant Women Subject to the Induction of Labor

“…The occurrence of jaundice in the neonatal stage was documented to be around 20%. The elevated percentage of jaundice may be a direct result of forceps delivery having a higher incidence [24]. Another study documented the percentage of neonatal jaundice to be as high as 40% while a meager 2% was accounted for hypoglycemia and an even less 1% accounting for birth asphyxia [25].…”

“…Another study documented the percentage of neonatal jaundice to be as high as 40% while a meager 2% was accounted for hypoglycemia and an even less 1% accounting for birth asphyxia [25]. A different study revealed increased changes of Apgar being less than seven, extremely less weight at birth, admission into the neonatal intensive care unit (NICU), and belated breastfeeding linked with labor induction [24].…”