Please enable JavaScript.
Coggle requires JavaScript to display documents.
PROLONG PREGNANCY, In low-risk pregnancies, if induction is deferred,…
PROLONG PREGNANCY
DEFINITION
A prolonged or post-term pregnancy refers to a pregnancy that continues beyond 42 weeks (294 days) of gestation
Late-term refers to 41 weeks, 0 days to 41 weeks, 6 days
-
MANAGEMENT
Induction of Labor (IOL)
Recommended at 41 weeks to reduce risks—perinatal mortality, complications, and cesarean delivery rates
At or after 42 weeks, induction is strongly advised due to increased risks associated with post-term pregnancy
-
COMPLICATIONS
RISK TO THE BABY
Stillbirth and perinatal mortality rise significantly after 42 weeks, and even more modestly between 41 and 42 weeks
-
Signs of post-maturity in infants include dry, peeling skin; overgrown nails; creases on palms/soles; abundant hair; minimal fat; colored skin from meconium staining
Macrosomia (larger baby) increases risk of delivery challenges like shoulder dystocia and may lead to operative delivery
-
Rare neurological risks (like increased odds of cerebral palsy, epilepsy) have been observed in some studies
RISK TO THE MOTHER
Greater risk of postpartum hemorrhage, dystocia, and infections (e.g., chorioamnionitis, endometritis) after 42 weeks
Induction at 41 weeks does not increase maternal risks, and may even reduce cesarean rates slightly :
-
-
In low-risk pregnancies, if induction is deferred, regular monitoring should begin at 41 weeks. This may include:
-
-