Prolonged pregnancy

Question 1

Prolonged pregnancy - def

Answer 1

Pregnancy >42 wks

Question 2

Prolonged pregnancy - epi

Answer 2

3-10%

Question 3

Prolonged pregnancy - maternal risks (3)

Answer 3

1. Maternal anxiety + psychological morbidity

Increased intervention

2. Induction of labour
3. Operative delivery with increased risk of genital tract trauma

Question 4

Prolonged pregnancy - fetal risks

Answer 4

1. Maternal anxiety + psychological morbidity
   Increased intervention
2. Induction of labour
3. Operative delivery with increased risk of genital tract trauma

Question 5

Prolonged pregnancy - mx

Answer 5

1. Confirm EDD as accurately as possible
2. Offer ‘stretch and sweep’ at 41 weeks
3. Offer induction of labour between 41-42 weeks