scholarly journals A PROSPECTIVE AND OBSERVATIONAL STUDY ON FETOMATERNAL OUTCOME IN POSTDATED PREGNANCY

2020 ◽  
Vol 4 (10) ◽  
Author(s):  
Aarthi Rajendran ◽  
Rajni Parikh
Keyword(s):  
High Risk ◽  
Fetal Outcome ◽  
Ethics Committee ◽  
Perinatal Morbidity ◽  
Term Pregnancy ◽  
Fetal Asphyxia ◽  
Obstetrics And Gynaecology ◽  
High Risk Factor ◽  
Prolonged Pregnancy ◽  
Post Term Pregnancy

Background: Postdated pregnancy is gestation longer than 40 weeks or 280 day. Prolonged pregnancy is defined as any pregnancy that last 294 days or more. Reported frequency of post term pregnancy range from 3 - 1 4 percent with an average of about 10 percent. Several studies have concluded that these pregnancies are accompanied by a rise in perinatal morbidity and mortality. The presumed etiology for this rise is placental insufficiency. Abnormalities such as congenital anomalies, oligohydramnios, meconium aspiration, fetal asphyxia, fetal dysmaturity, macrosomia and shoulder dystocia are commonly observed in these pregnancies Materials and Methods: This study was conducted in the Department of Obstetrics and Gynecology, after approval from the Ethics Committee, from January 2019 to September2020 on 150 patients in the department of Obstetrics and Gynaecology, willing to participate and fulfilling the inclusion and excliusion criteria in the study period. Results: Of the total 150 women, 122 (81.34%) were in 40 weeks group; 28 (18.66%) in 41 weeks group and 0 (0%) were in > 42 weeks group. Most women (89.3%) were between 20-35 years of age. Among 150 women, 40 (26.6%) went into spontaneous labor, 87(8.0%) were induced andn23 (15.34%) was taken for caesarian section. Misoprostol, Dinoprostone gel and oxytocin were the different modes of induction (Table 7). Misoprostol was used in the majority of inductions followed by Dinoprostone gel. The success rate between these two is almost similar (92.45% & 95.1%).Lscs rate was 15.33%.Most of the newborn had weight between 2.5-3.5kg in 68.25% of women in gestational age >40 weeks. Conclusions: The present study, we conclude that postdated pregnancy can be considered as a high risk factor from the point of fetal outcome as there is more fetal morbidity. Keywords: High risk pregnancies, maternal mortality, Outcomes, Perinatal mortality, postdated 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 Actual diagnostic and clinical problems in post-term pregnancy in modern obstetrics

2017 ◽  
Vol 66 (2) ◽  
pp. 93-103
Author(s):  
Ainura M Burkitova ◽  
Viktoriya S Prokhorova ◽  
Viacheslav M Bolotskikh
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Term Pregnancy ◽  
History Of ◽  
Prolonged Pregnancy ◽  
Evaluating Methods ◽  
Clinical Problems ◽  
Post Term Pregnancy

This review is devoted to etiology and diagnostics post-term and prolonged pregnancy. We analyzed the results of studies aimed at the study of diagnostic, pregnancy and complications in childbirth in pregnant women at high risk for post-term pregnancy. When evaluating methods of prenatal training in prolonged and post-term pregnancy most studies showed greatest efficacy in the preparation of the cervix, and the lowest frequency of complications in childbirth when using antigestagens in comparison with other methods of preparing the cervix for childbirth. Despite the long history of the study of this problem, many questions concerning post-term pregnancy, are not fully studied and actual to this day.

scholarly journals A STUDY OF MATERNAL AND PERINATAL OUTCOME IN POST DATED PREGNANCY

2020 ◽  
pp. 1-3
Author(s):  
Puja verma ◽  
Vinita Kumari ◽  
Dipti Roy
Keyword(s):  
Birth Weight ◽  
Perinatal Outcome ◽  
Post Partum ◽  
Fetal Outcome ◽  
Age Group ◽  
Term Pregnancy ◽  
Fetal Complications ◽  
The Mean ◽  
Labour Room ◽  
Post Term Pregnancy

When pregnancy goes beyond 40 weeks it is called post dated pregnancy. The incidence of post term pregnancy varies from 3-12%1,2. Post term or post dated pregnancies are associated with various maternal and fetal complications. A total of 80 women attending labour room emergency with post dated pregnancy (<40 weeks) were recruited for the study. This study was done to observe the maternal and fetal outcome in post dated pregnancies. The mean age was 23.14±2.2 years. Maximum women were in the age group of 20-30 years (67.5%). More than 50% had meconium stained liquor whereas 42.5% had clear liquor. A birth weight more than 3 kg was observed in 21 babies which was 26.25 % and maximum of 53 babies (66.25%) had birth weight between 2.5 kg and 3 kg. Only 6 babies had birth weight less than 2.5 kg. Ten babies were admitted to NICU. Thus, post dated pregnancies require strict vigilance during antepartum, intrapartum and post partum period due to increased incidence of complications.

FETO -MATERNAL OUTCOME IN POST DATED PREGNANCY

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Shruti Maheshwari ◽  
Lata Rajoria ◽  
Sunita Hemani ◽  
Chelsea Kuntal
Keyword(s):  
Cord Compression ◽  
Fetal Outcome ◽  
Point Of View ◽  
Cross Sectional ◽  
Placental Function ◽  
Medical College ◽  
Successful Induction ◽  
High Risk Factor ◽  
Prolonged Pregnancy ◽  
Nicu Admission

Background: The risk to the fetus increases after term (>42 weeks) of gestation mainly due to increasing fetal weight, decline in placental function, oligohydraminos which increases the chances of cord compression, and me conium aspiration.Perinatal mortality after 42 weeks is twice as compared to the perinatal mortality at 40 weeks and by 44 weeks the rate is increased up to threefold. In cases of prolonged pregnancy, fetus is more at risk of hypoxia during labor than a fetus at term Methods: This cross-sectional observational study of fetomaternal outcome in post dated pregnancy(Women beyond 40 weeks of gestation) was carried in department of obstetrics and gynecology SMS medical college jaipur in 40 patients from October 2019 to January 2020. Results: Majority patients required cesarean section (52%).Among patients who were given induction 48% had successful induction, maximum were induced by dinoprostone gel (50%).15% of babies delivered required NICU admission. Conclusion: The present study, we conclude that, the post dated pregnancy can be considered as a high risk factor from the point of view of maternal and fetal outcome as there is more fetal and maternal morbidity Keywords: Morbidity, Fetomaternal, NICU

scholarly journals Perinatal morbidity and mortality in late-term and post-term pregnancy. NEOSANO perinatal network's experience in Mexico

2011 ◽  
Vol 31 (12) ◽  
pp. 789-793 ◽  
Author(s):  
A M De los Santos-Garate ◽  
◽  
M Villa-Guillen ◽  
D Villanueva-García ◽  
M L Vallejos-Ruíz ◽  
...  
Keyword(s):  
Morbidity And Mortality ◽  
Perinatal Morbidity ◽  
Term Pregnancy ◽  
Post Term Pregnancy

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.

scholarly journals POST TERM PREGNANCY;

2017 ◽  
Vol 24 (04) ◽  
pp. 500-506
Author(s):  
Uzma Shahzad ◽  
Uzma Manzoor ◽  
Nadia Awais ◽  
Tasneem Azher
Keyword(s):  
Caesarean Section ◽  
Well Being ◽  
Induction Of Labour ◽  
Cervical Ripening ◽  
Term Pregnancy ◽  
Prolonged Pregnancy ◽  
Group 3 ◽  
Group 2 ◽  
Study Setting ◽  
Post Term Pregnancy

Post term pregnancy is used to describe pregnancy that continues for 294 days ormore following the first day of last menstrual period. Post term pregnancy has been consideredto occur in 10-20 % of all pregnancies. PGE2 have been used vaginally for induction of labourfor the last two decades. Routine induction of labour after 41 weeks gestation appears to reduceperinatal mortality. Objectives: The study was done to: 1) To calculate the induction – deliverytime with prostaglandins E2 in prolonged pregnancy. 2) To find frequency of normal vaginaldelivery versus caesarean section after induction with prostaglandins E2. Study design: It wasdescriptive study. Setting: It was study of fifty patients carried out in Gynae unit 1 Allied HospitalFaisalabad. Period: 03 March 2005 to 02 March 2006. Subjects: Inclusion Criteria: 1) Allpatients with prolonged pregnancy of more than forty two weeks were included. 2-Only singletonpregnancies were included. Exclusion criteria: 1-Patients who had previous caesarean sectionwere excluded from the study. 2) Patients who had associated obstetric condition that modify themode of delivery were excluded. Data collection procedure: Detailed history and examinationwas carried out with availability of dating ultrasound to ascertain dates. Bishop score assessed.Tests of foetal well being carried out. After informed consent induction of labour carried out withprostin E2, and effect studied on induction – onset and delivery intervals and mode of delivery.Results: Induction onset interval was 3.5 hours in Primigravida, was 2.8 hours in group 2(G2 &G3) and 2.0 hours in group 3(G4 & more). Induction delivery interval was 18 hours in group 1,14 hours in group 2 and 10-12 hours in group 3. Mean percentage of normal vaginal deliverywas 78.5% in all groups. Forceps delivery was 5.6% and caesarean section was 15.7%. Numberof patients successfully induced was 84.2% Conclusion: The study confirmed the efficacy ofPGE2 tablets in achieving cervical ripening. It was also seen to decrease induction deliveryinterval more so in multigravida.

Determine the Outcome of Newborn in Post-Term Pregnancy

2021 ◽  
Vol 15 (5) ◽  
pp. 1180-1182
Author(s):  
A. S. Rizwan ◽  
A. Fatima ◽  
M. Gul ◽  
S. Anwar ◽  
A. Jadaan ◽  
...  
Keyword(s):  
Gestational Age ◽  
Mode Of Delivery ◽  
High Rate ◽  
Fetal Mortality ◽  
Term Pregnancy ◽  
Meconium Aspiration ◽  
Mortality And Morbidity ◽  
Medical Disorders ◽  
Prolonged Pregnancy ◽  
Post Term Pregnancy

Objective: The objective of this study was to assess the outcome of newborn among pregnant females who deliver after prolonged pregnancy. Study Design: Descriptive study Place and Duration: Obstetrics & Gynaecology department of Shahida Islam Teaching Hospital, Lodhran for duration of six months from September 2020 to February 2021. Materials and Methods: 100 patients with pregnancy of >40 weeks were included in study. The patients were not included in this study with medical disorders, intrauterine demise or pregnancy complications. Identification of parameters regarding poor neonatal outcome was done. Variable e.g. gestational age, parity, fetal movement, age, mode of delivery, ultrasound, admission cardiotocogram (CTG) and past prolonged pregnancy were studied. Results: Most of the patients i.e. 39 (39%) were between twenty to twenty five years of age. In this study group multigravida were found in 60 (60%). Emergency caesarean section 65 (65%). Most of babies 64% were admitted to neonatal intensive care unit (ICU). Meconium aspiration syndrome was most general among complications which were found in 67 (67%). No fetal mortality was observed. Conclusion: Pregnancy should be managed before 42 weeks of gestation and should not allow to go post-term due to high rate of neonatal mortality and morbidity. Key words: Neonate, Post-term Pregnancy, Gestational Age, Meconium Aspiration, NICU, Mortality

scholarly journals Fetal growth and hemodynamics during SARS-CoV-2 infection: a short literature review

2021 ◽  
Vol 12 (2) ◽  
pp. 20-25
Author(s):  
G. Rizzo ◽  
I. Mappa ◽  
P. Maqina ◽  
V. O. Bitsadze ◽  
J. Kh. Khizroeva ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
High Risk ◽  
Fetal Growth ◽  
Respiratory Diseases ◽  
Virus Disease ◽  
Significant Proportion ◽  
Fetal Outcome ◽  
Perinatal Morbidity

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a virus that, having crossed species, has caused human disease from 2019 - COrona Virus Disease 2019 (COVID-19). Pregnant women are potentially at high risk of contracting SARS-CoV-2 infection when compared to non-pregnant matched controls. Pregnancy is also complicated with a higher risk of developing severe SARS-CoV-2, including respiratory diseases, admission to the intensive care unit and mortality, even after adjusting for confounding risk factors. Moreover, data on the effect on fetal outcome including preterm delivery and perinatal morbidity are still conflicting, the risk of vertical transmission (i.e., transmission of SARS-CoV-2 from the mother to the fetus or the newborn) is considered low but there is evidence that a significant proportion of placentas where SARS-CoV-2 occurred during pregnancy show histopathological findings suggesting placental hypoperfusion and inflammation. In this review we will present the available data on the effects of SARS-CoV-2 infection on fetal growth and maternal hemodynamics

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