Friday, 20 July 2012 12:09

Outcome and complications of post – term deliveries.

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INTRODUCTION: Post-term pregnancy is defined as a pregnancy extending to 42 weeks and beyond. After this date risks to the fetus and to the mother of continuing the pregnancy beyond the estimated date of deliver is greatly increased.

OBJECTIVES:To study the health risk for both fetus and mother in post term pregnancies and the discernable patterns of delivery.

METHODOLOGY: Case – finding descriptive hospital based study. Questionnaires were used to obtain the data and analysis was done using SPSS v17.

Sample size: NUMBER OF PARTICIPANTS (59)

 

Study Area          Omdurman Maternity Hospital, Khartoum

 

 

RESULTS:             Out of the 59 post-term deliveries, 81% were vaginal deliveries and 70% of which were induced with ARM. Caesarean sections accounted 19% of the deliveries. The study showed a significant relationship between gestational age and birth weight. The most common complications of post-term deliveries were failure to progress (5 cases), neonatal ward admittance (5 cases) and postpartum haemorrhage. The least common complication was found to be neonatal death (1 case). A negative correlation between gestational age and the APGAR score was found.

CONCLUSION:   In conclusion, it was found that the commonest mode of delivery was induced vaginal delivery. The commonest cause of surgical interference was failure to progress. Higher gestational age was associated with low APGAR scores in post term deliveries. Hence, allowing a pregnancy to proceed past due dates means this pregnancy must be associated with close surveillance. If the resources are not available, the pregnancy must be terminated within dates.

 

 

Article Details

  • Author(s): Mohammed Almamoun Idriss
  • Institute: University of Medical Sciences & Technology
  • Supervisor: Dr Helmi Mohamed Nour
  • Gender of Student: Male
  • Faculty: Medicine
  • Batch: 11
  • Study Design: Cross Sectional
  • Research Type: Health Institution Based
  • Clinical Topic: Obstetrics
Last modified on Sunday, 26 August 2012 08:58
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