Nuchal cord in post-term pregnancy – relationship to suspected intrapartum fetal distress indicating operative intervention

2008 ◽  
Vol 36 (2) ◽  
Author(s):  
Gisela S. Ghosh ◽  
Saemundur Gudmundsson
Keyword(s):  
Fetal Distress ◽  
Operative Intervention ◽  
Term Pregnancy ◽  
Nuchal Cord ◽  
Post Term Pregnancy

scholarly journals Maternal and fetal outcome in post term pregnancy

2017 ◽  
Vol 6 (7) ◽  
pp. 2897
Author(s):  
Vandana Verma ◽  
Vaibhav Kanti ◽  
Pragya Shree
Keyword(s):  
Fetal Distress ◽  
Fetal Outcome ◽  
Meconium Aspiration Syndrome ◽  
Adverse Outcomes ◽  
Term Pregnancy ◽  
Meconium Aspiration ◽  
Neonatal Icu ◽  
Prolonged Pregnancy ◽  
Post Term Pregnancy

Background: The term delivery is defined as that occurring between 259 and 294 days of pregnancy from the last menstrual period. If the pregnancy exceeds this period, it is called as post term pregnancy. Our center is in rural area where most of the patients are unbooked or even booked patients are also loss of follow up. So, this study was done to know the incidence of prolonged pregnancy and maternal and fetal outcome in case of prolonged pregnancy in our rural population.Methods: This study was a retrospective observational study for 1 year, to analyze the maternal and fetal outcome of post term pregnancies. Data was collected from hospital record and analysed.Results: Out of 5210 total deliveries 1.49 % were beyond 42 wks. 57.69 % patients delivered vaginally whereas 42.3 % patients needed cesarean section.  6.41 % neonates developed meconium aspiration syndrome and 15.38 % of neonates needed NICU admission for different indications.Conclusions: This study concluded that prolonged pregnancy is associated with adverse outcomes like fetal distress, meconium aspiration syndrome and more neonatal ICU admissions. The outcome of prolonged pregnancy can be improved by proper counselling for follow up during pregnancy and proper monitoring and appropriate management during labour.

scholarly journals INDUCTION OF LABOR BY PROSTAGLANDIN: A REVIEW FOR INDICATIONS AND RISK FOR CESAREAN SECTION

2017 ◽  
Vol 10 (10) ◽  
pp. 75
Author(s):  
Pravati Tripathy ◽  
Prasanna Baby
Keyword(s):  
Cesarean Section ◽  
Fetal Distress ◽  
Induction Of Labor ◽  
Term Pregnancy ◽  
Drug Of Choice ◽  
The Common ◽  
Failed Induction ◽  
Poor Outcomes ◽  
The Impact ◽  
Post Term Pregnancy

  Objective: Labor induction by medication is now preferred by many obstetricians. The impact of induction remains ambiguous, although many studies and systematic reviews have been conducted. Few studies have reported for its better outcomes while other studies with poor outcomes. The objective of the study is to identify the common indications of induction and the risk of cesarean section after induction.Methods: Various standardized databases, such as Pub Med, Scopus, and Google Scholar, were used to collect the scientific studies, where prostaglandin was used as drug of choice for induction of labor. The key words used were induction of labor, indications of induction, induction by misoprostol, induction and risk of cesarean section, etc. The survey spans over 22 years of study articles published from the year 1995-2017.Result: A total of 112 studies have been included to analyze the indications and risk of cesarean section. The most common indication found in most of the studies was post-term pregnancy. The risk of cesarean section varied from 3% to 48.7%. The common reasons for which the cesarean section was planned were, failed induction, nonprogress of labor, fetal distress, and undiagnosed CPD.Conclusion: Most of the studies recommend induction of labor as a safer option with lower risk of c-section.

scholarly journals FETOMATERNAL OUTCOME IN POST DATED PREGNANCY: A RETROSPECTIVE STUDY

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Sudesh Agrawal ◽  
Angurbala Patidar ◽  
Satish Kumar
Keyword(s):  
Pregnant Women ◽  
Gestational Age ◽  
Maternal Morbidity ◽  
Perinatal Death ◽  
Mode Of Delivery ◽  
Fetal Distress ◽  
P Value ◽  
Term Pregnancy ◽  
Gestational Length ◽  
Post Term Pregnancy

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

scholarly journals “FETOMATERNAL OUTCOME IN POSTDATED PREGNANCY”

2021 ◽  
pp. 1-2
Author(s):  
Priti Singh ◽  
Krishna Sinha
Keyword(s):  
Significant Risk ◽  
Fetal Distress ◽  
Meconium Aspiration Syndrome ◽  
Perinatal Complications ◽  
Term Pregnancy ◽  
Perineal Tear ◽  
Labor Dystocia ◽  
Increased Risk ◽  
Prolonged Pregnancy ◽  
Post Term Pregnancy

Post term pregnancy has a highrisk for fetus. It often results in labour abnormalities like labor dystocia, fetal macrosomia and increased in chances of caesarean delivery. Management of pregnancy beyond 40 weeks gestation relies on an accurate assessment of the gestational age. In our study prolonged pregnancy was associated with significant risk of perinatal complications like fetal distress, meconium aspiration syndrome and IUGR. There was significantly increased risk of obstetric complications like oligohydramnios, perineal tear, atonic pph and shoulder dystocia.

Case report of umbilical vein thrombosis

2019 ◽  
Author(s):  
V.M. Bolotskih, E.R. Semenova
Keyword(s):  
Case Report ◽  
Ultrasound Examination ◽  
Umbilical Vein ◽  
Term Pregnancy ◽  
Vein Thrombosis ◽  
Gestation Age ◽  
Post Term Pregnancy

A case of umbilical vein thrombosis is presented. Thrombotic masses were detected inside umbilical vein during ultrasound examination on the gestation age 40 weeks and 4 days. Such serious complication probably caused by decompensation of chronic placenta insufficiency in post-term pregnancy. In result reduce blood speed and forming thrombus inside umbilical vein

270: Ultrasonic alteration of the estimated date of delivery increases caesarean delivery rates among induced labors for post term pregnancy

2008 ◽  
Vol 199 (6) ◽  
pp. S87
Author(s):  
Rhona Mahony ◽  
Erina Sasaki ◽  
Tilottama Nandy ◽  
Fionnuala MCauliffe ◽  
Colm O'Herlihy ◽  
...  
Keyword(s):  
Caesarean Delivery ◽  
Term Pregnancy ◽  
Post Term Pregnancy

Low 3rd trimester haemoglobin level and the risk of post-term pregnancy

2012 ◽  
Vol 33 (1) ◽  
pp. 46-49 ◽  
Author(s):  
J. Liu ◽  
J. Wang ◽  
R. Ye ◽  
J. Liu ◽  
X. Zheng ◽  
...  
Keyword(s):  
Haemoglobin Level ◽  
Term Pregnancy ◽  
Post Term Pregnancy
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