Muhammad Adnan, Waqar-ul ha Q, Rana Muhammad Gulman Ashraf.
Outcome of Newborn in Prolonged / Post-term Pregnancy.
Pak J Med Health Sci Jan ;12(1):555-7.

Aim: To assess the outcome of newborn among pregnant females who deliver after prolonged pregnancy. Methods: This descriptive case series study was conducted at Gynecology Department Shahida Islam Teaching, Hospital, Lodhran from 16.03.2017 to 19.12.2017. 120 patients with pregnancy of 42 weeks or above were included in study. The patients were not included in this study with medical disorders, intrauterine demise or pregnancy complications. Identification of parameters regarding poor neonatal outcome was done. Variable e.g. gestational age, parity, fetal movement, age, mode of delivery, ultrasound, admission cardiotocogram (CTG) and past prolonged pregnancy were studied. Results: Most of the patients i.e., 44(36.67%) were between twenty to twenty five years of age. In this study group multigravida were found in 70(58.33%) and primigravida found in 50(41.67). More than 42 weeks gestation age for patients in 90(75%) was included in this study. In 60 (50%) patients decreased fetal movements were recorded. Delivery mode was spontaneous vaginal 22(18.33%), instrumental 14(11.67%), emergency caesarean section 80(66.67%) and elective C-Sect ion 4(3.33%). In born babies, males were 80(66.67%) and female were 40 (33.33%). Most of babies 63.33% were admitted to neonatal intensive care unit (ICU). Seven days for one baby maximum stay in intensive care unit. Birth trauma was found in six babies. Meconium aspiration syndrome was most general among complications which was found in 82(68.33%), followed by sepsis neonatorum in 8(6.67%), Jaundice neonatorum in 10(8.33%), respiratory distress syndrome in 58 (48.33%) and asphyxia neonatorum in 66(55%). No fetal mortality was observed. Conclusion: Pregnancy should be managed before 42 weeks of gestation and should not allow to go post-term due to high rate of neonatal mortality and morbidity.

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