Fetal Outcome Of Postdated Pregnancy: A Study of 100 Cases In CMH Dhaka

Abstract

Introduction: Postdate, post-term, postmaturity, and prolonged pregnancy are accepted terms by WHO and the International Federation of Gynecology and Obstetrics to describe pregnancy beyond dates (expected date of delivery). As per WHO, post-term pregnancy (PTP) is defined as a pregnancy that persists beyond 294 days or 42 weeks of gestation. Post-term pregnancy is often a
significant risk factor for various adverse maternal and neonatal outcomes. The present study was conducted to observe the fetal outcomes of 100 postdated pregnancy cases. Aim of the study: The aim of the study was to observe fetal outcomes 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 44 (44%.). Conclusion: The study observed a high occurrence of multigravida patients among postdated pregnancy cases, which was different from other similar studies. Post-term pregnancy had a high incidence of low fetal movement as maternal complications alongside the postdated pregnancy, and birth weight of >2.5 kg was observed in the majority of neonates. The present study had a very low rate of neonatal deaths, but fetal distress was the most common complication among neonates.