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Research Paper | Obstetrics and Gynecology | India | Volume 13 Issue 7, July 2024 | Rating: 6.2 / 10
Evaluation of Maternal and Perinatal Outcome in Post-Dated Pregnancy
Dr. Vandana Gupta | Dr. Hema Verma
Abstract: Introduction: Post - dated pregnancy exceeding 40 weeks poses risks such as perinatal mortality doubles due to increased fetal weight, declining placental function, oligohydramnios, and meconium aspiration. It also heightens the risk of hypoxia during labour compared to term pregnancies, emphasizing the need for careful monitoring and timely intervention. Therefore, the present study aimed to evaluate the maternal and perinatal outcomes in post - dated pregnancy. Methodology: This prospective observational study enrolled 150 pregnant women with pregnancies beyond 40 weeks. Comprehensive patient assessments were conducted, including history, examinations, blood investigations, and diagnostic tests. Maternal and neonatal outcomes were recorded. Results: Most of the enrolled women belonged to the rural areas, aged 20 - 25 years, with 87.33% of pregnancies falling within 40 - 41 weeks. Full - term normal delivery (FTND) was the primary delivery mode (87.64%), with 77.42% induced and 93.10% spontaneous. NICU admissions were noted in 27 cases. Maternal and fetal complications affected 40.00% of cases, with oligohydramnios (16.00%) being the most prevalent. Higher Bishop's Scores were associated with an increased likelihood of LSCS and instrumental deliveries. Delivery mode varied with newborn weight, with LSCS being common for newborns weighing 2.5 kg or more. Conclusion: Post - dated pregnancies pose a heightened risk for both maternal and fetal outcomes, given the increased likelihood of morbidity for both the mother and the fetus.
Keywords: Post dated, Maternal complication, Pregnancy outcome, NICU, Fetal complications
Edition: Volume 13 Issue 7, July 2024,
Pages: 419 - 423