Postterm pregnancy: Difference between revisions
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{{Infobox medical condition | |||
| name = Postterm pregnancy | |||
| synonyms = Postmature pregnancy, prolonged pregnancy | |||
| field = [[Obstetrics]] | |||
| symptoms = [[Decreased fetal movement]], [[oligohydramnios]], [[meconium-stained amniotic fluid]] | |||
| complications = [[Fetal distress]], [[macrosomia]], [[shoulder dystocia]], [[stillbirth]] | |||
| onset = After 42 weeks of [[gestation]] | |||
| duration = Until delivery | |||
| causes = Unknown, but risk factors include [[first pregnancy]], [[previous postterm pregnancy]], [[obesity]], [[male fetus]] | |||
| risks = [[Advanced maternal age]], [[obesity]], [[nulliparity]] | |||
| diagnosis = [[Ultrasound]] to confirm gestational age, [[non-stress test]], [[biophysical profile]] | |||
| differential = [[Incorrect dating of pregnancy]], [[oligohydramnios]], [[fetal growth restriction]] | |||
| prevention = Accurate dating of pregnancy, [[induction of labor]] at 41-42 weeks | |||
| treatment = [[Induction of labor]], [[monitoring of fetal well-being]] | |||
| prognosis = Generally good with appropriate management | |||
| frequency = 5-10% of pregnancies | |||
}} | |||
'''Postterm pregnancy''' is a condition where a [[pregnancy]] lasts 42 weeks or more. This condition can lead to complications for both the [[mother]] and the [[baby]]. | '''Postterm pregnancy''' is a condition where a [[pregnancy]] lasts 42 weeks or more. This condition can lead to complications for both the [[mother]] and the [[baby]]. | ||
==Definition== | ==Definition== | ||
A [[pregnancy]] is considered postterm if it lasts 42 weeks or more. This is calculated from the first day of the last [[menstrual period]]. | A [[pregnancy]] is considered postterm if it lasts 42 weeks or more. This is calculated from the first day of the last [[menstrual period]]. | ||
==Causes== | ==Causes== | ||
The exact cause of postterm pregnancy is unknown. However, some factors that may contribute to this condition include a previous postterm pregnancy, being a first-time mother, and male [[fetus]]. | The exact cause of postterm pregnancy is unknown. However, some factors that may contribute to this condition include a previous postterm pregnancy, being a first-time mother, and male [[fetus]]. | ||
==Risks== | ==Risks== | ||
Postterm pregnancy can increase the risk of certain complications. These include [[labor]] problems, [[cesarean section]], [[infection]], [[meconium aspiration]], and [[stillbirth]]. | Postterm pregnancy can increase the risk of certain complications. These include [[labor]] problems, [[cesarean section]], [[infection]], [[meconium aspiration]], and [[stillbirth]]. | ||
==Diagnosis== | ==Diagnosis== | ||
Postterm pregnancy is diagnosed based on the date of the last menstrual period. If this date is uncertain, an [[ultrasound]] may be used to estimate the gestational age of the fetus. | Postterm pregnancy is diagnosed based on the date of the last menstrual period. If this date is uncertain, an [[ultrasound]] may be used to estimate the gestational age of the fetus. | ||
==Management== | ==Management== | ||
Management of postterm pregnancy may include [[induction of labor]], [[fetal monitoring]], and cesarean section if necessary. | Management of postterm pregnancy may include [[induction of labor]], [[fetal monitoring]], and cesarean section if necessary. | ||
==See also== | ==See also== | ||
* [[Pregnancy]] | * [[Pregnancy]] | ||
| Line 22: | Line 34: | ||
* [[Induction of labor]] | * [[Induction of labor]] | ||
* [[Cesarean section]] | * [[Cesarean section]] | ||
[[Category:Obstetrics]] | [[Category:Obstetrics]] | ||
[[Category:Gynecology]] | [[Category:Gynecology]] | ||
[[Category:Pregnancy]] | [[Category:Pregnancy]] | ||
{{stub}} | {{stub}} | ||
{{No image}} | {{No image}} | ||
Latest revision as of 03:56, 4 April 2025
| Postterm pregnancy | |
|---|---|
| Synonyms | Postmature pregnancy, prolonged pregnancy |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Decreased fetal movement, oligohydramnios, meconium-stained amniotic fluid |
| Complications | Fetal distress, macrosomia, shoulder dystocia, stillbirth |
| Onset | After 42 weeks of gestation |
| Duration | Until delivery |
| Types | N/A |
| Causes | Unknown, but risk factors include first pregnancy, previous postterm pregnancy, obesity, male fetus |
| Risks | Advanced maternal age, obesity, nulliparity |
| Diagnosis | Ultrasound to confirm gestational age, non-stress test, biophysical profile |
| Differential diagnosis | Incorrect dating of pregnancy, oligohydramnios, fetal growth restriction |
| Prevention | Accurate dating of pregnancy, induction of labor at 41-42 weeks |
| Treatment | Induction of labor, monitoring of fetal well-being |
| Medication | N/A |
| Prognosis | Generally good with appropriate management |
| Frequency | 5-10% of pregnancies |
| Deaths | N/A |
Postterm pregnancy is a condition where a pregnancy lasts 42 weeks or more. This condition can lead to complications for both the mother and the baby.
Definition[edit]
A pregnancy is considered postterm if it lasts 42 weeks or more. This is calculated from the first day of the last menstrual period.
Causes[edit]
The exact cause of postterm pregnancy is unknown. However, some factors that may contribute to this condition include a previous postterm pregnancy, being a first-time mother, and male fetus.
Risks[edit]
Postterm pregnancy can increase the risk of certain complications. These include labor problems, cesarean section, infection, meconium aspiration, and stillbirth.
Diagnosis[edit]
Postterm pregnancy is diagnosed based on the date of the last menstrual period. If this date is uncertain, an ultrasound may be used to estimate the gestational age of the fetus.
Management[edit]
Management of postterm pregnancy may include induction of labor, fetal monitoring, and cesarean section if necessary.
