10 - Obs - Fetal Growth, Compromise and Surveillance - Prolonged Pregnancy

Question 1

Epidemiology and Aetiology

Preg >?wks. Risk of perinatal mort and morb incr between 41 and 42wks. Approx 6% pregs reach 42wks. Aetiology not understood, but more common w ? prolonged preg, ? and ? in South Asian and black women.

Answer 1

42
previous
nulliparity
rare

Question 2

Risks
Rate of ? per 1000 continuing pregs rises from 0.35 at ?wks to 2.12 at ?wks. Neonatal illness and ?, ? passage and fetal ? more common. Risks incr in women of ? ? origin. Absolute risk of probs still remains ?

Answer 2

stillbirth
37
43
encephalopathy
meconium
distress
south asian
small

Question 3

MGMT
check the ? carefully - counsel patient appropriately.
If correct - ? before ? weeks inappr unless ? are present

Answer 3

gestation
induction
41
complx

Question 4

MGMT

• from 41 weeks - Ex the pt ? and ? unless ? is very favourable (not ripe), or patient prefers to wait
• if no induction - sweep ? and arrange daily ???
• if CTG abnormal - ? whatever condition of cervix , delivery route = ??

Answer 4

vaginally
induce
cervix
cervix
CTG
deliver
CS