Management of Post term pregnancies

Question 1

What is the definition of a post term pregnancy?

Answer 1

> 42wga

Question 2

What is the incidence of post term pregnancy?

Answer 2

5.5%

Question 3

What is the definition of late term pregnancy?

Answer 3

41.0 - 41.6

Question 4

The rate of still birth is ____ at 42 wga compared to 40 wga

Answer 4

doubled

Question 5

What are the fetal risks factors associated with post term pregnancy?

Answer 5

oligohydramnios, Macrosomia, increased rate of birth trauma, incrased NICU admissions, low pH and low 5 min apgars, meconium aspiration, hypoglycemia, neonatal seizures

Question 6

What are the maternal risks factors associated with a post term pregnancy?

Answer 6

labor dystocia, perineal injury, infection, hemorrhage, double the CS delivery rate

Question 7

When should you start routine surveillance in otherwise healthy pregnancies that are not delivered by 40 wga?

Answer 7

41wga

Question 8

When does ACOG say you should consider induction of labor for late term?

Answer 8

41wga - 42wga

Question 9

When does ACOG say that you should highly recommend induction of labor for late term?

Answer 9

42wga - 42.6wga

Question 10

What are the three main benefits of inducing patients by 42wga?

Answer 10

decreased CS delivery, decreased perinatal death, decreased meconium aspiration

Question 11

What is the main benefit of membrane sweeping at 39 wga?

Answer 11

decrease in late term/post term pregnancies