Prolonged pregnancy Flashcards
1
Q
Prolonged vs post-term
A
Prolonged = after due date
Post term = after 42 weeks
2
Q
How common is post-term?
A
5-10% but when an early dating scan has been done actually 1.5%
3
Q
Cause
A
Unclear
More common in primiparity, or previous history
Hereditary and hormonal factors
4
Q
Postmaturity syndrome
A
Overall risk low Meconium stained amniotic fluid and increased risk of meconium aspiration Oligohydramnios Fetal distress Evidence of loss of subcut fat Stillbirth
5
Q
Complications
A
Postmaturity syndrome
Macrosomia
C-section or instrumental delivery
6
Q
Management
A
Monitor fetal well-being
Membrane sweep
Induction of labour
