TO ASSESS PERINATAL OUTCOME IN PREGNANCY BEYOND EXPECTED DATE OF DELIVERY UPTO 42 WEEKS.

Abstract

Background: Study has been carried out of 100 patients randomly selected with pregnancy beyond the EDD up to 42 weeks irrespective of any Gravidae. Primi or multi admitted in labor room of department of Obstetrics & Gynecology at Index Medical College Hospital & Research Centre, Indore.          

Result: The above table shows the comparison of perinatal outcome in postdatism pregnancy. In the 40-41 weeks group, there were 48 (94.0) live births, 02 (4.0%) had still birth. In the 41-42 weeks group, there were 47 (96%) live births, 02 (4.0%) IUD and 01 (2.0%) early neonatal deaths.

The above table shows the distribution according to perinatal morbidity in postdatism pregnancies. In the 40-41 weeks group, there were 02 (4.0%) neonates with MAS and 02 (4.0%) had IUGR. In the 41-42 weeks group, there were 4 (8.0%) neonates with MAS, 2 (4.0%) each had HIE (BA) and IUGR.

Conclusion: NICU admission one of the risk factors attributed to prolonged pregnancy. Reduction in perinatal mortality is seen when caesarean section is done between 41 weeks and 42 weeks. In this complex clinical condition we should identify the fetus at risk and to institute an appropriate management following adequate counseling of patient. The study shown incidence of MSL increases by 14% in 40-41weeks and 32% in 41-42weeks. There is also concomitant increases in birth asphyxia and requiring ventilation. Perinatal Mortality associated with Fetal Distress, Meconium Stained Liquor, MAS & Birth Asphyxia.

Keywords: e.g. Fetal Distress, Meconium Stained Liquor, Meconium Aspiration Syndrome, Birth Asphyxia, HIE.