Prolonged pregnancy Flashcards
1
Q
What is prolonged pregnancy defined as/
A
that exceeding 42 weeks
2
Q
What are problems associated w prolonged pregnancy?
A
− Intrapartum death x4 common − Early neonatal death 3x common − rates of IOL and instrumental delivery − Placental insufficiency − Macrosomia, shoulder dystocia, fetal injury − Less mouldable skull − meconium passage − fetal distress − CS rates
3
Q
What is the management of prolonged pregnancy?
A
- Confirm EDD
- Offer membrane sweep at 40 and 41 weeks in nulliparous and 41 in multips
- Offer induction between 41 and 42 weeks
4
Q
What is management if woman declines IOL
A
offer x2 CTG a week, US estimation of amniotic fluid depth to detect hypoxia
5
Q
What are signs of post maturity in a baby
A
- Dry, cracked, peeling loose skin
- Decreased subcut tissue
- Scaphoid abdomen
- Meconium staining of nails and cord
