Open AccessMaternal and neonatal outcome in pregnancy bbeyond 41 Weeks of Gestation: Observational study
Author(s) -
Ashwini Misal,
Urmila Gavali,
Gautam S. Aher
Publication year - 2021
Publication title -
vims health science journal/vimshealth science journal
Language(s) - English
Resource type - Journals
eISSN - 2454-1982
pISSN - 2348-523X
DOI - 10.46858/vimshsj.8201
Subject(s) - medicine , obstetrics , pregnancy , caesarean section , gestation , oligohydramnios , meconium , obstetrics and gynaecology , fetal distress , meconium aspiration syndrome , observational study , gynecology , fetus , genetics , biology , pathology
Background: Pregnancy beyond term is associated with adverse maternal and perinatal outcome. The aim of the study the maternal and perinatal outcome in pregnancies at and beyond 41 week of gestation. Methods: This is a prospective study of 140 patients with pregnancy beyond 41 weeks fulfilling the eligibility criteria and admitted and delivered in department of obstetrics and gynaecology at a tertiary care hospital. We examined its association with following outcomes: age, parity, genetic factors, bishop’s score at admission, mode of delivery, induction rate, meconium stained amniotic fluid, oligohydramnios, Perinatal and neonatal morbidity, Perineal tear, postpartum haemorrhage, maternal morbidity and mortality etc. Results: Out of 140 patients, majority in the age group of 21-25 years, 68 (48.6%) patients were primigravida while 72 (51.4%) patients were multigravida. Maximum patients 65% were not in labour whereas 35% were in labour. In 51 (36.4%) patients mode of delivery was caesarean section, in which most common indication being foetal distress in 25.5% followed by meconium stained amniotic fluid in 17.6%. In present study perinatal morbidity like stillbirth, RDS were 2.86% & 25.8% respectively. Maternal morbidity like PPH, tear and wound infection were 4.31%, 6.4%, 0.7%respectively. Conclusions: With Regular antenatal check-up, incidence of post term pregnancy can be decreased and Labour induction should be considered at 41weeks to prevent lot of maternal and perinatal complications.