Relationship of Maternal Complications and Delivery Methods Among Postdated Pregnancy

Abstract

Introduction: The World Health Organization and the International Federation of Gynecology and Obstetrics have agreed on the phrases "postdate," "post-term," "postmaturity," and "prolonged pregnancy" to characterize pregnancy after the due date (expected date of delivery). According to the World Health Organization, a post-term pregnancy (PTP) is defined as a pregnancy that lasts longer than 294 days or 42 weeks. Pregnancy after the due date is frequently a substantial risk factor for a variety of negative maternal and newborn outcomes. The purpose of this study was to look at the mother outcomes and delivery procedures in 100 cases of postdated pregnancy. Aim of the study: The aim of the study was to observe maternal complications
and delivery methods of postdated pregnancy cases Methods: This cross-sectional prospective study was conducted at the Department of Gynecology & Obstetrics, Combined Military Hospital (CMH), Dhaka, Bangladesh. The study duration was one year,
from January 2009 to December 2009, and the study was conducted with a total of 100 cases. Result: Most of the respondents (92%) belonged to the age group of 18-29 years. 64% were multigravida followed by 36% primi gravida. Most of the respondents were found between >40-42 weeks. 90% of respondents had undergone regular checkups as antenatal care. 56 (56%) had induced type of labor followed by the spontaneous type 44 (44%) of onset of labor. Out of 100 respondents, most of the respondents 54 (54%) mode of delivery was described as NVD followed by CS in 44 (44%.) among the 56 induced deliveries, 53.57% were CS and 46.43% were vaginal delivery cases. For mode of induction, 71.43% had oxytocin, 21.43% had misoprostol and the remaining 7.14% had ARM as the method of induction. Conclusion: The study showed that postdated pregnancy is a major risk factor for adverse maternal complications. Even by itself, postdated pregnancy is recognized as a significant risk factor, and when it leads to
cesarean section surgeries for delivery, the possible complications only increases. Bishop’s score is also below normal for all post-term pregnancy cases, as observed in our study. Use if Inj. Oxytocin had higher prevalence among CS cases, while use of Tab.
Misoprostol had higher incidence among vaginal delivery cases as a method of induction of delivery.