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POST-TERM PREGNANCY
Pregnancy continuing beyond two weeks
of the expected date of delivery (> 294
days) is called Postmaturity or Post-term
pregnancy.
ETIOLOGY
• Unknown
• Wrong dates - due to inaccurate LMP
• Biological variability (Hereditary) may
be seen in the family
ETIOLOGY
• Maternal factors
Primiparity
Previous prolonged pregnancy
Sedentary habit
Elderly multiparae
ETIOLOGY
• Fetal factors
Congenital anomalies
Anencephaly → abnormal fetal HPA
axis and adrenal hypoplasia →
diminished fetal cortisol response
ETIOLOGY
• Placental factors
Sulphatase deficiency → low estrogen.
DIAGNOSIS
• Menstrual history
• Clinical findings
1. Weight record 2. Girth of the abdomen
3. H/o false pain 4. Obstetric palpation
5. Internal examination
DIAGNOSIS
• Assessment of fetal maturity
Sonography
Amniocentesis
Straight X-ray abdomen
DIAGNOSIS
• Assesssment of fetal well being
Non stress test
Biophysical profile
Ultrasonographic estimation of
amniotic fluid volume.
COMPLICATIONS - FETAL
During pregnancy
• Diminished placental function
• Oligohydramnios
• Meconium stained liquor
• Fetal hypoxia and fetal distress.
COMPLICATIONS - FETAL
During labor
• Fetal hypoxia and acidosis
• Labor dysfunction
• Meconium aspiration
• Risks of cord compression-oligohydramnios
• Shoulder dystocia
COMPLICATIONS - FETAL
• Increased incidence of birth trauma due to
big size baby and non-moulding of head
due to hardening of skull bones
• Increased incidence of operative delivery.
• The main clinical significance of post-term
pregnancy is dysmaturity or macrosomia.
COMPLICATIONS - FETAL
Following birth
• Chemical Pneumonitis, Atelectasis and
Pulmonary Hypertension are due to
Meconium Aspiration
COMPLICATIONS - FETAL
• Hypoxia
• respiratory failure
• Hypoglycemia and polycythemia
• Increased NICU admissions.
COMPLICATIONS - MATERNAL
• Increased morbidity
• Incidental to hazards of induction, instrumental
and operative delivery.
MANAGEMENT
Uncomplicated Complicated
UNCOMPLICATED
Induction
Caesarean
section
COMPLICATED
Caesarean
section
POST-TERM PREGNANCY.pptxbbnnllllkkkkkkkjjj
POST-TERM PREGNANCY.pptxbbnnllllkkkkkkkjjj

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POST-TERM PREGNANCY.pptxbbnnllllkkkkkkkjjj