Module 2: Post-term pregnancy

Question 1

What is the definition of post term pregnancy

Answer 1

Pregnancy lasting more than 42 weeks gestation

Question 2

What are the fetal and maternal complications associated with post term pregnancy?

Answer 2

Maternal risk:
Dysfunctional labor
infection
operative birth
operative vaginal birth
perineal trauma
postpartum hemorrhage

Fetal risk:
Macrosomia
shoulder dystonia
Oligohydramnios
cord compression
fetal heart rate abnormalities
meconium stained amniotic fluid
fetal distress during labor
fetal acidosis

Question 3

what are the risk and benefits of induction versus expectant management in the management of post term pregnancy

Question 4

What are the component of appropriate surveillance of patient choosing expectant management

Question 5

What are the indication and contraindications for induction of labor

as would be pertinent to a discussion that you as a WHNP might have with a woman in the prenatal care setting