Prolonged Pregnancy

Question 2

Etiology of Prolonged Pregnancy

Answer 2

Question 3

Etiology of Prolonged Pregnancy

• Maternal

Answer 3

1. Miscalculation: Commonest cause.
2. Familial & Genetic factors.
3. Poor nutrition.

Question 4

Etiology of Prolonged Pregnancy

• Fetal & Placental

Answer 4

Question 5

Complications of Prolonged Pregnancy

Answer 5

Question 6

Dx of Prolonged Pregnancy

Answer 6

Question 7

Dx of Prolonged Pregnancy

• during Pregnancy

Answer 7

Question 8

Dx of Prolonged Pregnancy

• After Delivery

Answer 8

Question 9

Managment of Prolonged Pregnancy

Answer 9

Question 10

Managment of Prolonged Pregnancy

• Expectant Treatment

Answer 10

• Wait for spontaneous onset of labor (occurs in 60% at 40-41 weeks & in 80% by 43 weeks)
• Careful observation of fetal wellbeing (perform NST, CST & BPP twice weekly while waiting for spontaneous onset of labor).

Question 11

Managment of Prolonged Pregnancy

• Active Managment (TOP)

Answer 11

Question 12

Active TOP in Prolonged Pregnancy

• Indication

Answer 12

1) Pregnancy > 42 weeks.

2) Fetus is at risk (evidence of placental insufficiency by NST, CST & BPP).

Question 13

Active TOP in Prolonged Pregnancy

• Methods

Answer 13

Question 14

Active TOP in Prolonged Pregnancy

• Vaginal

Answer 14

Question 15

Active TOP in Prolonged Pregnancy

• CS

Answer 15

If there is fetal distress, failed induction, other indication for CS.

Question 16

Etiology of Post-Maturity Syndrome

Answer 16

Fetus outgrows its placental supply &/or placental functions deteriorate (placental aging)

Question 17

Dx of Post-Maturity Syndrome

Answer 17

Question 18

Dx of Post-Maturity Syndrome

• During Pregnancy

Answer 18