Prolonged Pregnancy

Question 1

What is a prolonged pregnancy aka?

Answer 1

Post-term

Question 2

What is the definition of Prolonged Pregnancy?

Answer 2

Pregnancy persist up to and beyond 42 wks

Question 3

What are the RF for Prolonged Pregnancy? (4 things)

Answer 3

1. Nulliparity
2. Maternal age 40+
3. Prolonged preg Hx / FHx
4. Obesity

Question 4

What are the CF of Prolonged Pregnancy? (5 things)

Answer 4

1. Static growth / Macrosomia
2. Oligohydramnios
3. Reduced foetal movements
4. Meconium presence
5. Dry / flaky skin w reduced Vernix

Question 5

What is Vernix?

Answer 5

Waxy white substance coating skin on newborn babies

(prolonged pregnancy babies have less Vernix)

Question 6

What is Vernix?

Answer 6

Waxy white substance coating skin on newborn babies

(prolonged pregnancy babies have less Vernix)

Question 7

What are the NICE / RCOG guidelines for prolonged pregnancy?

Question 8

What are the NICE / RCOG guidelines for prolonged pregnancy?

Answer 8

Deliver by 42 weeks, to reduce risk of stillbirth

Question 9

How can you achieve delivery by 42 weeks? (2 things)

Answer 9

1. Membrane sweeps
2. Induction of labour

Question 10

When can Membrane sweeps be offered from? (2 things)

Answer 10

1. 40 weeks (if nulliparous)
2. 41 weeks (if parous)

Question 11

When can Induction of labour be offered?

Answer 11

Between 41-42 weeks

Question 12

What should you do with women who decline Induction of labour? (2 things)

Answer 12

1. Twice weekly CTG monitoring
2. USS w amniotic fluid measurement
   (To identify foetal distress)

Question 13

What should you do @ Foetal distress / srs complication to mother / child?

Answer 13

Emergency C section