FETAL OUTCOME AMONG WOMEN WITH PREGNANCY EXCEEDING BEYOND 42 WEEKS
Keywords:
Spontaneous, Delivery, Vaginal, Instrumental, Cesarean Section, Intra Uterine Growth Restriction, Birth Asphyxia.Abstract
Objective: To determine the frequency of complications of fetal outcome among women presenting with pregnancy exceeding beyond 42 weeks in our population.
Material and Methods: This descriptive study was conducted in the department of Obstetrics & Gynaecology in Khyber Teaching Hospital, Peshawar, Pakistan, from January 2012 to December 2015. All women with pregnancy exceeding beyond 42 weeks of gestation, age range from 20 to 45 years having any gravida or parity were included and women with placenta previa or placental abruption, chronic hypertension, pre-eclamaptia, diabetes mellitus, polyhydramion, previous cesarean section, fetus with umbilical cord around the neck or mal-presentation or congenital anomalies diagnosed on abdominal/vaginal examination were not included in the study. Consecutive (non probability) sample technique was used. Demographic features, clinical presentation,investigations,nonoperative management, any surgical intervention and fetal was monitored by half hourly auscultation using a pinnordfetoscope. Fetal distress was diagnosed
if the fetal heart beat was less than 120 beats/ minute or above 160 beats/ minute were noted in a predesigned Performa and analyzed using SPSS 19.
Results: A total of 205 patients with prolonged pregnancy were studied. 69(33.7%) babies had intrauterine growth restriction, 39(19%) babies had birth asphyxia, fetal distress occurred in 41(20%) and 37(18%) of babies suffered of meconium aspiration syndrome. Finally neonatal death was occurred in 10(4.9%) babies.
Conclusion: Most of patients undergoing labor induction at 42+ weeks gestation deliver by normal vaginal delivery with good fetal outcome.
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