EC Gynaecology

Introduction: Post term perinatal mortality is greater than that of term pregnancy in almost all studies reviewed. The growth and survival of most postdated infants suggests that the placental function deteriorates with increasing length of gestation; thus the changes seen in fetuses affected with post maturity syndrome may not be explained by placental findings alone.

Objective: To find out the incidence of post-dated pregnancies, associated maternal complications and perinatal morbidity and mortality.

Materials and Methods: This was a retrospective observational study conducted in the only indoor patients who got admitted in lobour ward in Upazila Health Complex Bahubal, Habiganj, Sylhet, Bangladesh from May 2022 to October 22 and Upazila Health Complex, Golapgonj, Sylhet, Bangladesh from November 22 to April 2023. Total 210 patients in the antenatal ward and labour room were selected for the study and they were divided into two groups, Control group with Gestational age 37-40weeks and Study group with Gestational age >40weeks.

Results: Maximum number of patients belonged to the age group of 25 - 30 years both in cases (54.3%) and control group (55.2%). The maximum number of patients in the study group (77.1%) belonged to the gestational age of 40 - 41 weeks while all the controls belonged to 37 - 40 weeks gestational age. 62.9% of the patients in study group were primigravida and in the control group 54.17% were primigravida. The percentage of LSCS was 27.6% which was higher than in the control group where it was 12.4%. Among the indications for LSCS, the most common indication among the study group was acute foetal distress which includes meconium stained liquor (11.4%) followed by cephalopelvic disproportion (5.7%). In the control group, most common indication was non progress of labour (5.7%) followed by acute foetal distress (3.8%) and non-reactive CTG (3.8%). The maternal complications like PPH and sepsis as well as fetal complications all were higher in the study group as compared to the control group.

Conclusion: Considering this, policy of early intervention should be undertaken in post-dated pregnancy to avoid maternal and perinatal complications.

Keywords: Maternal Complications; Post Datism; Perinatal Morbidity

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