Post-term pregnancy
https://doi.org/10.23946/2500-0764-2019-4-2-42-47
Abstract
Aim. To assess the incidence and course of labor and delivery in women with post-term pregnancy.
Materials and Methods. We studied 6,506 medical records of women admitted to the Birthing Center of the Podgorbunsky Regional Clinical Emergency Hospital during 2015-2017. Out of them, 130 women with post-term pregnancy were assigned to the study group, and 130 women with full-term pregnancy (37-41 weeks) were enrolled in the control group to evaluate the frequency of maternal and neonatal complications.
Results. The incidence of post-term pregnancy was 2%. These patients commonly suffered from obesity. Chronic hypoxia, gestational anemia, gestational diabetes were among the most frequent complications of pregnancy. Women with post-term pregnancies had higher prevalence of premature rupture of membranes, abnormal labor, and cesarean sections while their newborns had higher birth weight and lower Apgar scores.
Conclusion. Post-term pregnancy is associated with a high risk of both maternal and neonatal complications. Labor induction after 41 weeks of pregnancy is an efficient preventive measure.
About the Authors
O. N. NovikovaRussian Federation
Oxana N. Novikova - Prof., MD, DSc, Professor, Department of Obstetrics and Gynecology.
22a, Voroshilova Street, Kemerovo, 650056
L. R. Mustafina
Russian Federation
Liliya R. Mustafina - Prof., MD, DSc, Professor, Department of Histology, Embryology and Cytology.
Tomsk
References
1. Linder N, Hiersch L, Fridman E, Klinger G, Lubin D, Kouadio F, et al. Post-term pregnancy is an independent risk factor for neonatal morbidity even in low-risk singleton pregnancies. Arch Dis Child Fetal Neonatal Ed. 2017; 102 (4): F286-F290. doi:10/1136/archdischild-2015-308553.
2. Girma W, Tseadu F, Wolde M. Outcome of Induction and Associated Factors among Term and Post-Term Mothers Managed at Jimma University Specialized Hospital: A Two Years, Retrospective Analysis. Ethiop J Health Sci. 2016; 26 (2): 121-130.
3. Frank R, Garfinkle J, Oskoui M, Shevell MI. Clinical profile of children with cerebral palsy born term compared with late- and post-term: a retrospective cohort study. BJOG. 2017; 12 (11): 1738-1745. doi:10/llll/1471-0528.14240.
4. Lahti M, Eriksson JG, Heinonen K, Kajantie E, Lahti J, Wahlbeck K, et al. Late preterm birth, post-term birth, and abnormal fetal growth as risk factors for severe mental disorders from early to late adulthood. Psychol Med. 2015; 45 (5): 985-999. doi: 10.1017/S0033291714001998.
5. Naslund Thagaard I, Krebs L, Lausten-Thomsen U, Olesen Larsen S, Holm JC, Christiansen M, et al. Dating of Pregnancy in First versus Second Trimester in Relation to Post-Term Birth Rate: A Cohort Study. PLoS One. 2016; 11 (1): e0147109. doi: 10.1371/journal.pone.0147109.e.
6. Schierding W, O'Sallivan JM, Derraik JG, Cutfield WS. Genes and post-term birth: late for delivery. BMC Res Notes. 2014; 7: 720. doi: 10.1186/1756-0500-7-720.
7. Schierding W, Antony J, Karhunen V, Vaarasmaki M, Franks S, Elliott P, et al. GWAS on prolonged gestation (post-term birth): analysis of successive Finnish birth cohort. J Med Genet. 2018; 55 (1): 55-63. doi: 10.1136/jmedgenet-2017-104880.
8. Wallstrom T, Hellgren C, Akerud H, Wiberg-Itzel E. Skin conductance activity in post-term pregnancy. J Ma-tern Fetal Neonatal Med. 2015; 28 (16): 1912-1916. doi: 10.3109/14767058.2014.972357.
9. Heslehurst N, Vieira R, Hayes L, Crowe L, Jones D, Robalino S, et al. Maternal body mass index and post-term birth: a systematic review and meta-analysis. Obes Rev. 2017; 18 (3): 293-308. doi: 10.1111/obr.l2489.
10. Derraik JG, Lundgren M, Cutfield WS, Ahlsson F. Body Mass Index, Overweight, and Obesity in Swedish Women Born Postterm. Paediatr Perinat Epidemiol. 2016; 30 (4): 320-324. doi: 10.1111/ppe.l2292.
11. Dekker RL. Labour induction for late-term or post-term pregnancy. Women Birth. 2016; 29 (4): 394-398. doi: 10.1016/j.wombi.2016.01.007.
12. Kjeldsen LL, Sindberg M, Maimburg RD. Earlier induction of labor in post term pregnancies-A historical cohort study. Midwifery. 2015; 31 (5): 526-531. doi: 10.1016/j.midw.2015.02.003.
13. Maimburg RD. Women's experience of post-term pregnancy. PractMidwife. 2016; 19 (6): 21-23.
14. Smithers LG, Searle AK, Chittleborough CR, Scheil W, Brinkman SA, Lynch JW. A whole-of-population study of term and post-term gestational age at birth and children's development. BJOG. 2015; 122 (10): 1303-1311. doi: 10.1111/1471-0528.13324.
Review
For citations:
Novikova O.N., Mustafina L.R. Post-term pregnancy. Fundamental and Clinical Medicine. 2019;4(2):42-47. (In Russ.) https://doi.org/10.23946/2500-0764-2019-4-2-42-47