A Study of Fetomaternal Outcome in Post-dated and Postterm Pregnancy at a Tertiary Care Hospital
Authors/Creators
- 1. 2nd Year Resident, Department of Obstetrics and Gynecology, C.U. ShahMedical College and Hospital, Surendranagar, Gujarat,India
- 2. Associate Professor, Department of Obstetrics and Gynecology, C.U. Shah Medical College and Hospital, Surendranagar, Gujarat, India
- 3. Professor and HOD, Department of Obstetrics and Gynecology, C.U. Shah Medical College and Hospital, Surendranagar, Gujarat,India
Description
Objectives: To determine fetomaternal outcome in postdated and post term pregnancy. Material and Methods: It is data analysis of postdated and post term patients who delivered at C.U. Shah medical college over a period of 1 year (1st August 2022 to 31st July 2023). Only 195 patients fulfilled the criteria. Their detailed data was obtained from the department. Results: In the present study, total of 1660 patients were studied over a span of 1 year, i.e. 1st August 2022 to 31st July 2023.Out of these 164 deliveries were postdated and 31 deliveries were post term. Most of the patients were illiterate, unbooked and belonged to rural area. There were increased chances of instrumental delivery, failure of induction and chances of caesarean section increases with postdatism and post term pregnancies. Neonates belonging to the same group also required NICU admission with adverse outcomes. Conclusion: Maternal and fetal morbidity and mortality can be reduced by electively inducing pregnant women at 40+0 weeks as allowing them to continue beyond this gestational age has shown adverse fetal-maternal outcomes. This can be achieved by appropriate ANC care and counseling. CTG reading and partograph charting are required to reduce the neonatal adverse outcome and fetal mortality after time of induction.
Abstract (English)
Objectives: To determine fetomaternal outcome in postdated and post term pregnancy. Material and Methods: It is data analysis of postdated and post term patients who delivered at C.U. Shah medical college over a period of 1 year (1st August 2022 to 31st July 2023). Only 195 patients fulfilled the criteria. Their detailed data was obtained from the department. Results: In the present study, total of 1660 patients were studied over a span of 1 year, i.e. 1st August 2022 to 31st July 2023.Out of these 164 deliveries were postdated and 31 deliveries were post term. Most of the patients were illiterate, unbooked and belonged to rural area. There were increased chances of instrumental delivery, failure of induction and chances of caesarean section increases with postdatism and post term pregnancies. Neonates belonging to the same group also required NICU admission with adverse outcomes. Conclusion: Maternal and fetal morbidity and mortality can be reduced by electively inducing pregnant women at 40+0 weeks as allowing them to continue beyond this gestational age has shown adverse fetal-maternal outcomes. This can be achieved by appropriate ANC care and counseling. CTG reading and partograph charting are required to reduce the neonatal adverse outcome and fetal mortality after time of induction.
Files
IJTPR,Vol14,Issue4,Article8.pdf
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Additional details
Dates
- Accepted
-
2024-03-26
Software
References
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