Post_Term_Pregnancy_Flashcards
How does the World Health Organization define a post-term pregnancy?
The World Health Organization defines a post-term pregnancy as one that has extended to or beyond 42 weeks.
What are the potential neonatal complications of a post-term pregnancy?
Potential neonatal complications of a post-term pregnancy include reduced placental perfusion and oligohydramnios.
What are the potential maternal complications of a post-term pregnancy?
Potential maternal complications of a post-term pregnancy include increased rates of intervention including forceps and caesarean section, as well as increased rates of labour induction.
What is reduced placental perfusion and how is it related to post-term pregnancy?
Reduced placental perfusion refers to decreased blood flow to the placenta, which can occur in post-term pregnancies.
What is oligohydramnios and how is it related to post-term pregnancy?
Oligohydramnios is a condition characterized by low amniotic fluid levels, which can occur in post-term pregnancies.
How does post-term pregnancy affect the rates of intervention during delivery?
Post-term pregnancy increases the rates of intervention during delivery, including the use of forceps and caesarean sections.
How does post-term pregnancy affect the rates of labour induction?
Post-term pregnancy increases the rates of labour induction.
summarise post term pregnancy
A 40-year-old pregnant woman is seen for her 41 week check. Her blood pressure has consistently been 140/90 mmHg for the last 2 weeks. Her booking blood pressure was 110/70 mmHg. You administer labetalol to treat the high blood pressure. What should be the next step in the management?
Give magnesium sulphate
Give nifedipine
Emergency caesarian section
Watchful waiting
Offer induction of labour
Offer induction of labour
The pregnancy is now post term. A woman who has reached 41 weeks gestation can be offered induction of labour, or alternatively she can choose expectant management. At this gestation the risks to the foetus are increased, and women with either pregnancy-induced hypertension or pre-eclampsia are usually delivered. Medical induction of labour would be the preferred choice. Caesarean section would usually only be indicated if there was foetal compromise. This level of blood pressure does not require treatment.
