The Evaluation of Obstetric Outcome of Postdated Pregnancy

Abstract

Background: Postdated pregnancy is one of the commonest obstetric conditions. Pregnancy is called term when it lies between 37 weeks to 40 weeks from the last menstrual period. If the pregnancy exceeds 40 weeks it is called as postdated pregnancy.
 Methods: From January to June 2022, researchers from the Research institute Dhaka Medical College and Hospital, carried out this prospective observational study. We surveyed 100 participants for this research. After carefully evaluating the woman and the fetus, induction of labor was conducted after the due date had passed. Intact membrane, cephalic presentation, singleton pregnancies, and a low Bishop score in post-dated pregnancies were also requirements for participation. Women with absolute contraindications to induction of labor, such as a contracted pelvis, placenta previa, unexplained vaginal hemorrhage, breech presentation, or a history of caesarean section, were not included in the analysis.
 Results: During the study Sixty percent of the population is comprised of young adults ages 21 to 30. There were 42% in the oxytocin group, 38% in the ARM + oxytocin group, and 14% in the misoprostol group. There were 30% unsuccessful deliveries with oxytocin drip, 25% with ARM + Oxytocin drip, and 14% with misoprostol. The vast majority of births occurred naturally via the cervix, whereas around 33% required a caesarean section and 10% required the use of forceps. The fetal distress rate was 13%, while the cervix conditions were poor in 5%. 75% of the newborns were very fine.
 Conclusion: Timely labor is closely connected with positive birth outcomes. It is critical to make a correct diagnosis of postdatism. With the right advice and constant monitoring from medical professionals, postpartum depression in mothers may be alleviated. Many hospitals around the country resort to caesarean sections to end post-dated pregnancies because of technological limitations in foetal monitoring and oxytocin titration. Inducing labor seems to be safe for both mother and child when a full-term cervix and favorable fetal presentation are present.