Summary:
The probability of a pregnancy terminating in a full-term,
healthy live birth is a powerful indicator of the health status
of its women, and of the quality of health care available to
them during pregnancy and birth. The present study
conducted to find out the maternal outcome of prolonged
pregnancy. This study carried out in the department of
obstetrics, Sir Salimullah Medical College and Mitford
Hospital, Dhaka, between the period of February 2003 and
December 2003. Patients admitted in labour ward having
the history of post dates but not in labour and some were
admitted during first stage of labour. Patients who were sure
about their Last Menstrual Period (LMP) and those patients
who had regular menstrual cycle were included in the study.
Total 139 respondents were included in the study. Among
them 114 (82.01%) were in the age group of 18 to 29 years
and 25 (17.99%) were in the age group of >30 years. Among
the respondents 67 (48.2%) were primi gravida and 72
(51.8%) were multi gravida. Among the respondents 92
(66.2%) were in the 1st stage of labour, 7 (5.0%) were in the
2nd stage of labour and rest 40 (28.8%) were not in labour.
Mode of delivery of highest number of respondents was
caesarian section (54.0%) followed by normal vaginal
delivery (39.7%). Other mode of delivery were ventouse and
forceps and they were 07(05.0%) and 2(1.4%) respectively. Out
of 75 respondents under gone caesarian section, indication of
C/S was fetal distress in 1st stage of labour, prolong 1st stage
with maternal distress, failed induction, cephalopelvic
disproportion (CPD) and breech presentation with big baby
were 32.0%, 25.3%, 24.0%, 16.0% and 2.7% respectively.
Maternal morbidity like PPH, UTI, puerperal sepsis and wound
infection were 10.0%, 14.40%, 3.60% and 5.70% respectively.
In postdated pregnancy maternal morbidity is common finding.
It also has more operative interference.
Key word: Postdated pregnancy; Maternal morbidity.
Abbreviation: LMP: Last Menstrual Period; CPD:
Cephalopelvic disproportion; PPH: Post partum haemorrhage;
UTI: Urinary tract infection.
(J Banagladesh Coll Phys Surg 2014; 32: 66-70)