Abstract

Introduction: There are various definitions of post-term pregnancy found in the literature, so guidelines for its management also vary. Pregnancy after 41 weeks of gestation results in additional risks for the foetus,so a decision to induce labour is often taken. However, induction can also cause certain complications and increase the need for proceeding to an operative birth. Methods: A quantitative approach was used in the research, which was based on data taken from the national perinatal information system. 10,163 births following post-term pregnancies were included in the analysis. Analysis was conducted with the statistical programme SPSS version 18.0, using descriptive statistics. Results: It has been established that with the extension of the pregnancy, the induction rate increases; after the 42nd week of gestation it reaches 41.8 %. Simultaneously, also the rate of operative deliveries grows and reaches 24.9 % after the 42nd week of gestation. Discussion and conclusions: The results on the type of labour in the case of post-term pregnancies in Slovenia confirm the findings of foreign research studies. Further research should focus on the state of health of post-mature newborn infants since the manner of completing the pregnancy does not necessarily indicate the well-being of a newborn infant. It might be useful to research Apgar scores, admission rates to intensive care units, blood pH values and reanimation procedures.

Highlights

  • There are various definitions of post-term pregnancy found in the literature, so guidelines for its management vary

  • A quantitative approach was used in the research, which was based on data taken from the national perinatal information system. 10,163 births following post-term pregnancies were included in the analysis

  • Analysis was conducted with the statistical programme SPSS version 18.0, using descriptive statistics

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Summary

Namen in cilji

Do sedaj za slovensko populacijo analiza porodov po PDP še ni bila objavljena. Glavni namen je bil zatorej ugotoviti višino gestacijske starosti, ko je v Sloveniji število induciranih porodov zaradi poterminske nosečnosti najpogostejše. Želeli smo tudi ugotoviti povezavo med indukcijo poroda in izidom poroda. Raziskovalna vprašanja so bila naslednja: − Kolikšen je delež porodov po 40. − Kolikšen je delež indukcij poroda na podlagi indikacije poterminske nosečnosti? − Kolikšen delež induciranih porodov zaradi poterminske nosečnosti se je zaključil z operativnim dokončanjem in koliko s spontanim vaginalnim porodom?. Uporabljen je bil kvantitativni pristop; raziskava je bila zasnovana na podatkih iz Perinatalnega informacijskega sistema Republike Slovenije za leto 2012 (Inštitut za varovanje zdravja Republike Slovenije, 2013)

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