A Prospective Observational Study on Pregnancy Outcome after 40 weeks of gestation
DOI:
https://doi.org/10.21276/zp48t774Keywords:
Gestational age, LSCS, Foetal bradycardia, OligohydramniosAbstract
Background: Delayed childbearing is increasing, and advanced maternal age is one of the reason that has been associated with an increased risk of obstetrical complications. The purpose of this study was to evaluate pregnancy outcomes in women after 40 weeks of gestation
Methods: This study was conducted in over a period of one year. This study was carried out in Department of Gynecology in PMCH, Udaipur.
Results: In this study we were included 100 cases of pregnancy presenting after 40 weeks of gestation. We had seen mode of delivery in respect of gestational age. In this study we also observed indication for LSCS, in which 10 cases for oligohydramnios, 9 cases of foetal bradycardia, 8 cases of previous single LSCS & 1 case of previous two LSCS.
Conclusions: This study concludes that as gestational age advances, spontaneous onset of labour reduces.
Downloads
References
Pregnancy & birth : When does labour need to be induced. Last update
March 2014. Next update 2017.
Spong C.Y(2013) Defining term pregnancy: Recommendation from the
defining term pregnancy work group, JAMA 309 (23 ); 2445-2446.
Heino A, Gissler M. The statistics on assisted fertility treatments.
Helsinki: THL 2012 (The National Institute for Health and Welfare)
Bertram H, Bujard M, Rösler W. Rush-hour des Lebens:
Geburtenaufschub, Einkommensverläufe und familienpolitische
Perspektiven. Journal für Reproduktionsmedizin und Endokrinologie
; 8: 91–99
Cohen W. Does maternal age affect pregnancy outcome? BJOG 2014;
: 252–254
Office for National Statistics. Statistical Bulletin for Births and deaths in
England and Wales 2008. Office for National Statistics, Newport,
UK.http://www.statistics.gov.uk/statbase/ Product.asp?vlnk=14408.
World Health Organization. Atlas of Health in Europe, 2nd edition. World
Health Organization, 2008. http://www.euro.who.
int/Document/E91713.pdf.
Australian Bureau of Statistics. Births 2007. Australian Bureau of
Statistics. http://www.ausstats.abs.gov.au/ausstats/
subscriber.nsf/0/DC32A0611500BAA0CA2574EF00142139/$
File/33010_2007.pdf.
Statistics NZ. Demographic Trends 2007. Statistics NZ,
http://www.stats.govt.nz/NR/rdonlyres/DB3A801B-3745- 4B4C-8D34-
F5F69A9139.
Bushnik T, Garner R. The Children of Older First-time Mothers in
Canada: Their Health and Development. Statistics Canada, September
, http://www.statcan.gc.ca/pub/89-599-m/89- 599-m2008005-
eng.pdf.
Centers for Disease Control and Prevention. National Vital Statistics
Reports, Births: Final data for 2006. Centers for Disease Control and
Prevention, Vol. 57, No. 7, January 2009,
http://www.cdc.gov/nchs/data/nvsr/nvsr57/nvsr57_07.pdf.
Royal College of Obstetricians and Gynaecologists. RCOG Statement
on later maternal age. Royal College of Obstetricians and
Gynaecologists: London, 2009. http://www.rcog.org.uk/ what-wedo/campaigning-and-opinions/statement/rcogstatement-later-maternalage.
Huang L, Sauve R, Birkett N, Fergusson D, van Walraven C. Maternal
age and risk of stillbirth: a systematic review. CMAJ 2008; 178: 165–172.
Joseph KS, Allen AC, Dodds L, Turner LA, Scott H, Liston R. The
perinatal effects of delayed childbearing. Obstet Gynecol 2005; 105:
–1418.
Odibo AO, Nelson D, Stamilio DM, Sehdev HM, Macones GA. Advanced
maternal age is an independent risk factor for intrauterine growth
restriction. Am J Perinatol 2006; 23: 325–328.
Bianco A, Stone J, Lynch L, Lapinski R, Berkowitz G, Berkowitz RL.
Pregnancy outcome at age 40 and older. Obstet Gynecol 1996; 87: 917–
Dulitzki M, Soriano D, Schiff E, Chetrit A, Mashiach S, Seidman DS.
Effect of very advanced maternal age on pregnancy outcome and rate of
cesarean delivery. Obstet Gynecol 1998; 92: 935–939.
Berkowitz GS, Skovron ML, Lapinski RH, Berkowitz RL. Delayed
childbearing and the outcome of pregnancy. N Engl J Med 1990; 322:
–664.
Wang Y, Tanbo T, Abyholm T, Henriksen T. The impact of advanced
maternal age and parity on obstetric and perinatal outcomes in singleton
gestations. Arch Gynecol Obstet 2011; 284: 31–37.
Kirz DS, Dorchester W, Freeman RK. Advanced maternal age: the
mature gravida. Am J Obstet Gynecol 1985; 152: 7–12.
ACOG (American congress of obstetries & Gynecology). 2014
Committee opinion no. 611; Method for estimating due date. Obstet
Gynecol 124(4); 863-866.
Khambalia AZ, Pobets C.L. et al. (2013) Predicting date of birth and
examining the best time to date a pregnancy. Int. J Gynaecol obstet
(2); 105-109.
Olsen AW, Basso O, Olsen J. Risk of recurrence of prolonged pregnancy
Br. Med J 2003, 326:476.
Smith, G.C.(2001); Life table analysis of the risk of perinatal death at
term and post term in singleton pregnancies. Am J obstet Gynecol 184
(3); 489-496.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 International Archives of BioMedical and Clinical Research
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors are required to sign and submit the completed “Copyright transfer Form” upon acceptance of publication of the paper. This is determined by a publishing agreement between the author and International Archives of Biomedical and Clinical Research. These rights might include the right to publish, communicate and distribute online. Author(s) retain the copyright of their work. International Archives of Biomedical and Clinical Research supports the need for authors to share, disseminate and maximize the impact of their research.