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Research Paper | Obstetrics and Gynecology | India | Volume 13 Issue 10, October 2024 | Popularity: 7 / 10
Maternal and Perinatal Outcome in Post Dated Pregnancy - A Prospective Observational Study
Dr. Soujanya Hyati, Dr. Varija T, Dr. Priyanka H S, Dr. Kavya V, Dr. Shamili K
Abstract: Background: Post - dated pregnancies, defined as pregnancies extending beyond 40 weeks, are associated with increased maternal and perinatal risks. Understanding the demographic distribution, delivery outcomes, and neonatal health of these pregnancies is crucial for managing potential complications and improving outcomes. Objective: The aim of this prospective observational study was to examine maternal and perinatal outcomes in post - dated pregnancies, focusing on age distribution, parity, mode of delivery, indications for lower segment cesarean section (LSCS), birth weights, APGAR scores, and neonatal intensive care unit (NICU) admissions. Methods: A total of 44 post - dated pregnant women were recruited for the study, with data collected on their age, parity, mode of delivery, and neonatal outcomes. Demographic details and clinical parameters, including birth weight, APGAR scores at 1 and 5 minutes, and NICU admissions, were analyzed. Statistical associations were assessed using Pearson chi - square tests, with significance determined at a p - value < 0.05. Results: The majority of post - dated pregnancies were observed in women aged 21 - 25 years (61.4%), with nearly half being first - time mothers (47.7%). LSCS was the predominant mode of delivery (61.4%), with fetal distress being the leading indication (29.5%). There was no significant association between gestational age range and mode of delivery (p = 0.789). Birth weights ranged between 2 to 4 kg in most cases, with no significant association found between the baby's sex and birth weight (p = 0.278). APGAR scores indicated favorable neonatal outcomes, with 95.5% of newborns scoring 6/10 at 1 minute and 97.7% improving to 8/10 by 5 minutes. A total of 22.7% of newborns required NICU admission, primarily due to meconium aspiration syndrome (MAS) and respiratory distress syndrome (RDS). Conclusion: Post - dated pregnancies are more prevalent in younger, primigravidas and are associated with a high rate of LSCS deliveries. While most newborns show favorable outcomes based on APGAR scores, there is a notable incidence of NICU admissions due to respiratory complications. These findings emphasize the need for close monitoring and timely interventions in managing post - dated pregnancies.
Keywords: Post - dated pregnancy, lower segment cesarean section (LSCS), APGAR score, neonatal outcomes, NICU admissions
Edition: Volume 13 Issue 10, October 2024
Pages: 736 - 741
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