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Regardless of whether prolonged pregnancy is considered to be a risk factor requiring intervention, the proportion of pregnancies considered “postterm” can be reduced considerably by a dating policy which ignores menstrual dates and establishes the expected delivery date on the basis of ultrasound dates alone.

Prolonged pregnancy has always been regarded as a high-risk condition because perinatal morbidity and mortality is known to rise.

The interest in postdatism (just beyond expected date of delivery) has been recent and the management is controversial, more so with the advent of sonography providing information about placental aging and amount of amniotic fluid.

A total number of FTNDs were 64, out of which 57 cases were of gestational age 40 weeks 1 day to 41 weeks and 7 cases were of gestational age 41 weeks 1 day to 42 weeks.

A total number of cesarean sections were 34, out of which 29 cases were of gestational age 40 weeks 1 day to 41 weeks and 5 cases were of gestational age 41 weeks 1 day to 42 weeks.

In our study, we concluded that prolonged pregnancy was associated with significant risk of perinatal complications such as fetal distress, meconium aspiration syndrome, and IUGR.

There was significantly increased the risk of obstetric complications such as oligohydramnios, perineal tear, atonic pph, and shoulder dystocia.

Pregnancy beyond 40 weeks needs frequent amniotic fluid index monitoring as in our study we found more cases of oligohydramnios.


 
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15-Apr-2020 02:26