Fetal Outcome among Women with Postdate Pregnancy

Authors

  • Yasmeen Afridi
  • Rani Jehangir
  • Inam Ullah
  • Kousar Robeen
  • Anees Muhammad
  • Saima Khattak

Keywords:

postdate pregnancy, Meconium Aspiration, Intrauterine Growth Restriction, Macrosomia, Birth Asphyxia, Fetal Distress

Abstract

OBJECTIVE: The study aimed to determine the mode of delivery and fetal outcome among women with postdated pregnancies.

METHODOLOGY: This cross-sectional study was conducted from July to December 2020 in the Department of Gynecology, Hayatabad Medical Complex, Peshawar. A total of 287 women with postdated pregnancies (beyond 41 weeks) were selected through a convenient sampling technique for the study and followed to detect expected fetal outcomes. All women of age 20-45 with no signs of labor onset and cepahlic presentation of singleton pregnancy were included, while women with retained placenta detected by ultrasound, women with a medical disorder like coagulopathies (Haemophilia, Von Willebrand disease, Thrombocytopenia, DIC, Protein S deficiency, Protein C deficiency) detected by the specific investigation were excluded from the study. Data was analyzed using SPSS version 20.

RESULTS: The mean age of the sample was 30.5 years, with a standard deviation of 6.1 years. The mean parity of the sample was 2.1±1.5. The mean BMI of the sample was 26.1±3.8kg/m2. On follow-up, fetal distress in 16%, macrosomia in 18.5%, birth asphyxia in 18.1%, meconium aspiration in 8.4% and NICU admission in 9.1%. None of the neonates died in this study.

CONCLUSION: Postdated pregnancy carries a high risk of fetal distress, macrosomia and birth asphyxia. We recommend more large-scale surveys as well as trials to determine the efficacy of induction before pregnancy enters the postdate period and reduce the morbidity and mortality due to postdate pregnancies.

 

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Published

2024-04-03

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1.
Afridi Y, Jehangir R, Inam Ullah, Kousar Robeen, Muhammad A, Saima Khattak. Fetal Outcome among Women with Postdate Pregnancy. J Liaq Uni Med Health Sci [Internet]. 2024 Apr. 3 [cited 2024 May 3];23(01):26-31. Available from: http://ojs.lumhs.edu.pk/index.php/jlumhs/article/view/1236

Issue

Vol. 23 No. 01 (2024): Journal of Liaquat University of Medical & Health Sciences

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Original Articles

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