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 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 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

EPIDEMIOLOGICAL AND ETIOLOGICAL PROFILE OF IUFD: A PROSPECTIVE STUDY AT TERTIARY CARE CENTRE

2021 ◽  
pp. 31-34
Author(s):  
Deepali Jain ◽  
Uma Jain ◽  
Japhia David
Keyword(s):  
Gestational Age ◽  
Fetal Death ◽  
Health Centre ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
National Level ◽  
Health Indicators ◽  
Fetal Mortality ◽  
Hypertensive Disorder ◽  
Tertiary Care Centre

Introduction:- IUFD occurrence without warning in a previously normal pregnancy is really a challenge to obstetrician and distressing situation for parents. It becomes crucial to identify specic probable cause of fetal death, to prevent the re-occurance and get the corrective measures. Prenatal mortality is still of one of the top most health indicators in measuring the quality and impact of health services in developing countries Still birth is a useful index to measure the values of antenatal and intranatal care. To decrease the fetal mortality rate, evaluation, documentation and audit of the etiology and the associated risk factors for stillbirth is required. Material and method :- The present study aims at studying the various causes related to IUFD. Prospective observational study conducted on 112 patients at Department of Obstetrics and Gynaecology, Kamla Raja Hospital, G.R. Medical College and J.A. Group of Hospitals, Gwalior (M.P.) for 18 months. All those cases who were diagnosed as intrauterine dead fetus at the time of admission with gestational age >24 weeks pregnancy were included in the study. All those investigation available at the centre of mother and father were noted and details were taken. Epidemiological evaluation of causes of fetal death was done. Record of the method of induction and mode of delivery taken. RESULTS :-Total 112 cases found during the study period were included . We found maximum cases unbooked - 71.43%, which were mainly emergency admissions. Majority of the IUFD cases- 77.67% were found to lie in the age group of 20-30 yrs, most of them were primigravida 62.5%., maximum cases of IUFD were of the gestational age 31-35 weeks- 47.32%. Hypertensive disorder of pregnancy- 23.3 % cases were found to be the major associated cause followed by Antepartum Haemorrhage 11.5%, Severe anaemia 15.1%, diabetes- 14.2% jaundice - 9.8%. congenital anomaly- 9.8%. Oligohydromnios- 8.9% and IUGR were also found to be associated with IUFD, forming an indirect reason. 39.29% cases were unexplained. 86.6% cases delivered vaginally. 10.7% cases had to undergo LSCS and only 2.68% cases underwent laparotomy for rupture uterus. 11.61% cases were of macerated IUFD baby indicating long term neglected IUFD. 39.78% and 38.39% IUFD were of 2.0-2.5 kg and 1.5-2.0 kg. This show strong corelation with LBW and IUGR. CONCLUSION:- Unexplained cases, hypertensive disorder, anemia and diabetes were the major causes for IUFD. In spite of advances in diagnostic and therapeutic modalities a major cause of fetal death remain unexplained because of poverty, illiteracy, unawareness and inaccessibility of a health centre. Undoubtedly, continued surveillance of stillbirth rates is wanted for both high- and low-risk pregnancies at a state and national level.

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 Study of maternal and foetal outcome in post-term pregnancies

2017 ◽  
Vol 6 (7) ◽  
pp. 3147
Author(s):  
Priya Shankar ◽  
Hemalatha KR
Keyword(s):  
Pregnancy Termination ◽  
Mode Of Delivery ◽  
Perinatal Outcomes ◽  
Term Pregnancy ◽  
Amniotic Fluid Index ◽  
Neonatal Deaths ◽  
Foetal Growth Restriction ◽  
Incidence Risk ◽  
One Year ◽  
Post Term Pregnancy

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.

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.

PERINATAL OUTCOME OF MECONIUM STAINED LIQUOR IN TERM, PRE-TERM & POST-TERM PREGNANCY

2021 ◽  
pp. 78-80
Author(s):  
Anjani Kumari ◽  
Hena Jabin ◽  
Renu Jha
Keyword(s):  
Perinatal Outcome ◽  
Mode Of Delivery ◽  
Cord Compression ◽  
Meconium Aspiration ◽  
Medical College ◽  
Vaginal Deliveries ◽  
Low Birth Weight Babies ◽  
Rising Incidence ◽  
Meconium Staining ◽  
Post Term Pregnancy

Introduction: Meconium aspiration is commonly dened as the presence of meconium below the vocal cords. Meconium aspiration is more common if the meconium is thick rather than thin. This may be a reection of the fact that oligohydramnios (and therefore thick undiluted meconium) is more likely to lead to fetal hypoxia due to cord compression and consequently increased fetal breathing. Aim: To determine the incidence of cases having meconium stained liquor during labour. To classify the total no. of cases with meconium stained liquor in labour on the basis of gestational duration (term, pre-term and post-term), as well as mode of delivery. To correlate the perinatal outcome with incidence of meconium staining of liquor during labour. To reduce perinatal mortality & morbidity. Materials And Methods: The present study was conducted at Darbhanga Medical College and Hospital, during the period of December 2018 to November 2020. During the study period, total number of deliveries was 3500, the number of cases selected for the study were 1680. Intrapartum meconium stained liquor was present in 165 cases (11.01%). Cases with clear liquor in the intrapartum period 1495 cases (88.99%) were taken as controls. Result: No signicant correlation was noted between maternal age and meconium staining of liquor. The incidence of staining was higher i.e. 17.1% in higher gestational age of foetus i.e. 41-42 weeks. Our study also yielded results of rising incidence of low –birth weight babies(less than 2.5kg) in meconium stained liquor cases. Instrumental vaginal deliveries and caesarean sections were found to be more prevalent in these cases. Mean Apgar Scores were signicantly lower in cases complicated with thick stained liquor than in thin stained liquor or clear liquor. Conclusion: It can be said that our study has revealed some results that further establishes some well-known facts about meconium stained liquor. Meconium stained liquor is a very common complication during labour and its incidence is 11.01% as per this study. Incidence of instrumental vaginal delivery and caesarean section is signicantly increased when liquor is meconium stained during labour.

scholarly journals Efficacy of Mefipristone for induction of labour in late term pregnancy

2019 ◽  
Vol 8 (6) ◽  
pp. 2384
Author(s):  
Roopa N. K. ◽  
Rekha N.
Keyword(s):  
Induction Of Labour ◽  
Fetal Mortality ◽  
Bishop Score ◽  
Medical Sciences ◽  
Term Pregnancy ◽  
Mortality And Morbidity ◽  
Vaginal Deliveries ◽  
Increased Risk ◽  
Study Population ◽  
Progesterone Antagonist

Background: Late-term pregnancy defined as one that has reached between 41 0/7 weeks and 41 6/7 weeks of gestation is associated with an increased maternal morbidity as well as an increased risk of fetal and neonatal mortality and morbidity. Mifepristone, an anti-glucocorticoid and antiprogesterone, though not an oxytocic increases uterine activity and causes cervical effacement and dilatation and improves the Bishop score without over/hyper stimulation of uterus. Increased maternal and fetal mortality from late term pregnancy could be prevented by induction of labour. The objective of this study was to know the efficacy of single dose of oral mifepristone in induction of labour in late term pregnancy and to assess the induction delivery interval in the study population.Methods: This was a prospective interventional study conducted in Department of Obstetrics and Gynaecology at BGS Global Institute of Medical Sciences, Bengaluru. 100 Women with late term pregnancy who fulfilled the inclusion and exclusion criteria were considered for the study after an informed written consent.Results: 73.5% (n=36) of multigravida and 80.4% (n=41) of prim gravida showed improvement in the Bishop score post induction with mifepristone and majority (89.79 % primigravida and 84.31% multigravida) of the study population had vaginal delivery. Multigravida (73.5%) had less induction delivery interval (less than 48hours) compared to primigravida (19.6%).Conclusions: Mifepristone, a progesterone antagonist causes a significant improvement in the Bishop’s score and is associated with an increased rate of vaginal deliveries.

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 Use of antenatal corticosteroids in Brazil: data analysis from the National Survey Nascer no Brasil

2022 ◽  
Vol 40 ◽  
Author(s):  
Antônio José Ledo Alves da Cunha ◽  
Karina Bilda de Castro Rezende ◽  
Maria Elisabeth Lopes Moreira ◽  
Silvana Granado Nogueira da Gama ◽  
Maria do Carmo Leal
Keyword(s):  
Data Analysis ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Gestational Age ◽  
Maternal Education ◽  
Mode Of Delivery ◽  
Immune Deficiency Syndrome ◽  
Antenatal Corticosteroids ◽  
Maternal Complications ◽  
Mortality And Morbidity

ABSTRACT Objective: To estimate the rate of the use of antenatal corticosteroids (ANC) among pregnant women and to identify the conditions associated with their non-use in Brazil. Methods: Secondary data analysis from “Birth in Brazil”, a national hospital-based survey carried out in 2011–2012 on childbirth and birth. The sample was characterized regarding maternal age, marital status and maternal education, parity, mode of delivery and place of residence. The association of ANC use with gestational age and type of delivery was analyzed. The studied maternal complications were the presence of hypertension, pre-eclampsia/eclampsia, and pyelonephritis, infection by the HIV virus or acquired immune deficiency syndrome. Results: 2,623 pregnant women with less than 37 weeks of gestational age were identified, and, of these, 835 (31.8%) received ANC. The frequency of ANC use was higher among women with gestational ages between 26–34 weeks (481 cases; 48.73%). In pregnancies with less than 37 weeks, the use of ANC was 23.9% in spontaneous deliveries, 20.6% in induced deliveries and 43.8% among those who did not go into labor. The variables vaginal delivery (OR 2.5; 95%CI 1.8–3.4) and living in the countryside were associated with not using ANC, and the occurrence of pre-eclampsia/eclampsia (OR 1.8; 95%CI 1.2–2.9) was associated with the use of ANC. Conclusions: The use of ANC among Brazilian pregnant women was low. Interventions to increase its use are necessary and can contribute to reduce neonatal mortality and morbidity. ANC should be promoted in pregnancies of less than 37 weeks, especially in cases of vaginal delivery and for those living in the countryside.

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