Maternal and fetal outcome in post term pregnancy

Verma, Vandana; Kanti, Vaibhav; Shree, Pragya

doi:10.18203/2320-1770.ijrcog20172632

Cited by 6 publications

(6 citation statements)

References 5 publications

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“…It is consistent with the study which found that 15.38% of neonates were admitted to NICU and 3.84% infants were having>4 kg birth weight. 8 Similar results were found in study which was done in Indira Gandhi Institute of Medical Sciences, Patna which showed that out of 100 postdates pregnancies, 11% of neonates had macrosomia whereas 25% of neonates were admitted to NICU. 13 In the present study, no perinatal mortality was found.…”

Section: Discussionsupporting

confidence: 82%

“…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. 5 In this study, maximum cases (69.4%) delivered normally, whereas caesarean section were performed in 30.6% cases.…”

Section: Discussioncontrasting

confidence: 63%

“…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. 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.…”

Section: Discussionmentioning

confidence: 45%

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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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Section: Discussionsupporting

confidence: 82%

Section: Discussioncontrasting

confidence: 63%

Section: Discussionmentioning

confidence: 45%

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Maternal and Fetal Outcomes in Uncomplicated Postdated Pregnancy

Bhandari¹,

Sharma²,

Subedi³

2022

jhas

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“…In this retrospective study, the incidence of post-term pregnancy is 1.25%, which is much less than reported by other studies (8.3%) by Ingemarsson et al 5 9 In a study by Nimbargi et al the caesarean section rate was 61.3%. 10 The rate of surgical intervention is increased in post term pregnancies because of meconium staining of amniotic fluid, non-progress of labour, intrapartum foetal hypoxia and oligohydramnios.…”

Section: Discussioncontrasting

confidence: 55%

Study of maternal and foetal outcome in post-term pregnancies

Shankar

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Post-term pregnancies are associated with significant foetal morbidity and increase in interventions which jeopardise the health of the fetus as well as the mother. The objective of this study was to determine the incidence, risk factors, maternal and foetal outcomes of such pregnancies.Methods: A retrospective study of 117 post-term pregnancies was studied over a period of one year, January to December 2016. Age, parity, amniotic fluid index, color of liquor, mode of delivery, maternal and foetal outcomes were studied in detail and analysed.Results: There were 10390 deliveries during our study period. 130 among them were post-term, 117 were included in the study, amounting to an incidence of 1.12%. Post-term pregnancy was noted to be higher in women of age group 21-25years (68.5%) and among primigravidae (51.2%). 66 women experienced vaginal delivery (56.4%) and 49 women underwent caesarean delivery (41.8%). Most common indications for caesarean section were foetal distress, oligohydramnios, and foetal growth restriction. NICU admissions were 16 babies and 2 early neonatal deaths were noted.Conclusions: Post-term pregnancy requires early detection, proper planning of pregnancy termination. These women should be offered induction of labour prior to 42 weeks of gestation age to avoid adverse maternal and perinatal outcomes.

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“…In present study 72% infants were having 2.5 to 3.9 kg birth weight which was less than the study conducted by Verma et al which showed 87% infants of birth weight 2.5 to 3.9 kg. 12 In the present study, maternal outcome was comparable between the two groups. Out of 168 patients, 15 (8.9%) had PPH in which 6 patients were full term and 9 were late term, 8 (4.8%) had chorioamnionitis in which 5 were full term and 3 were late term and 5 (3%) had uterine hyperstimulation in which 1 was full term and 4 were late term pregnancies (p=0.305).…”

Section: Discussionsupporting

confidence: 47%

Feto-maternal outcome in term and late term pregnancies following induction of labour with misoprostol

Devi,

Singh,

Singh

et al. 2024

Int J Reprod Contracept Obstet Gynecol

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Background: Induction of labour is the artificial initiation of labour before its spontaneous onset for the purpose of achieving vaginal delivery of the feto-placental unit. It is a common obstetric procedure which is indicated when the benefits to mother or fetus outweigh the benefits of continuing the pregnancy. Most common indication for induction is postdated pregnancy. Methods: Longitudinal Study carried out in department of obstetrics and gynaecology, RIMS, Imphal, Manipur, conducted for duration of two calendar years, with effect from January 2021 in 168 primigravidas who had reached full term or late term pregnancy admitted in ante-natal ward of RIMS, Obstetrics and Gynaecology department. Results: Study was conducted on 168 pregnant women, most of the participants belonged to the age group of 18-34 years (77.9%). Vaginal delivery was the most common mode of delivery (64.8%). Most of the babies (72%) delivered were having birth weight of between 2.5 kg to 3.9 kg. PPH and uterine hyperstimulation are comparatively more in the late term pregnancy as compared to full term pregnancy. Meconium-stained liquor was slightly more in late term pregnancy group as compared to full term pregnancy. Babies delivered by full term pregnant women were having better APGAR score in 1 minute and 5 minutes than the babies delivered by late term pregnancy. Conclusions: Late term Pregnancy is comparatively common in low socio-economic group. The CS rate is comparatively high in Late term pregnancy as compared to Full Term Pregnancy. Poor APGAR score is highly associated with Late term Pregnancy outcome.

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Maternal and fetal outcome in post term pregnancy

Cited by 6 publications

References 5 publications

Maternal and Fetal Outcomes in Uncomplicated Postdated Pregnancy

Maternal and Fetal Outcomes in Uncomplicated Postdated Pregnancy

Study of maternal and foetal outcome in post-term pregnancies

Feto-maternal outcome in term and late term pregnancies following induction of labour with misoprostol

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