Background: Pregnancy beyond dates is one of the most frequent clinical dilemmas faced by the obstetrician. Postdated pregnancy is a universally accepted indication for antenatal fetal monitoring because of the increased risk of antepartum fetal demise with advancing gestational age.
Method: This study was a retrospective observational study for 1 year to analyze the maternal and fetal outcomes of postdated pregnancies. Data were collected from hospital records and analyzed.
Results: In the present study, the incidence of postdated pregnancy was found to be 6.23; 0.46% were spontaneous vaginal deliveries, and 30% were induced deliveries. The lower segment cesarean section (LSCS) was done in 21% of patients and failed induction being the most common indication for LSCS. Maternal complications were seen in 12 (12%) cases, and fetal complications were found in 13 (13%) cases.
Conclusion: Management protocol for postdated pregnancy is fetal surveillance for prolonged pregnancy, induction of labor, and proper monitoring of labor during intrapartum care.
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