Prolonged Pregnancy (Postmaturity)

Question 1

What is the definition of prolonged pregnancy?

Answer 1

Exceeding 42 weeks gestation

Question 2

What are the problems associated with prolonged pregnancy?

Answer 2

1. Stillbirth
2. Increased neonatal death
3. Macrosomia, shoulder dystocia, foetal injury
4. Ossified foetal skill = less mouldable
5. Increased meconium passage in labour and foetal distress

Question 3

How is prolonged pregnancy managed?

Answer 3

1. Confirm EDD, arrange for visit at 41/40 if not delivered.
2. Membrane sweep on vaginal examination - induces natural prostaglandins
3. Vaginal prostaglandins followed by oxytocin