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VOL. 3, ISSUE 2 (2021)
Observational study of postdated pregnancy and its fetomaternal outcome
Authors
Aprajita Kumari, Abha Prasad, Anjana Sinha
Abstract
Aims and Objective: Observational study of postdated pregnancy or pregnancy beyond expected date of delivery and its fetomaternal outcome. Material and methods: This was a retrospective hospital based study conducted on 144 pregnant women as per inclusion and exclusion criteria from the period of November 2018 to October 2019 (Patna Medical College & hospital Patna, Bihar). A detailed history and clinical examination were recorded. Data pertaining to the onset of labour, mode of delivery, caesarean section due to fetal distress/ meconium stained liquor, 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: 63.9 percent Postdated pregnancy were found in 20-25 year of age group. It is most common in primigravida. 52.4 percent were unbooked cases. Out of 144 cases, 88 were delivered vaginally. Beyond 40 weeks rate of caesarean section were 53.06% and instrumental deliveries were 71.43 percent. Most common indication of caesarean section was fetal distress [32.65 percent], followed by meconium stained liquor [28.57%], then CPD [18.36 percent]. 95.8 percent of the patients had live outcome only 4.2 percent had IUD. Perinatal morbidities like NICU admission, MAS, birth asphyxia were seen in 31.25%. Maternal morbidities like wound infections, perineal tear and PPH were found in 18.75% of cases. Conclusion: With regular antenatal check-up incidence of postdated pregnancy can be reduced. Postdated pregnancy is a high risk pregnancy. Early diagnosis and management with timed referral and induction of labour according to protocol should be done. Proper intrapartum care, by maintaining partograph and cardio-tochography needs to be done. Timed detection and management by caesarean section in fetal distress, failed induction and nonprogress of labour should be done.
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Pages:19-22
How to cite this article:
Aprajita Kumari, Abha Prasad, Anjana Sinha "Observational study of postdated pregnancy and its fetomaternal outcome ". International Journal of Gynaecology and Obstetrics Research, Vol 3, Issue 2, 2021, Pages 19-22
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