Coverage also includes underweight and obese women, anemia, infections, abnormalities, medical diseases, hypertensive disorders, normal and abnormal labor, intrapartum monitoring and management, induction of labor, twins and multiple pregnancy, intrauterine growth restriction, instrumental delivery, postpartum collapse and hemorrhage, trauma, maternal injuries, cesarean delivery, neonatal resuscitation, prematurity, postmaturity
, ultrasonography, diet and exercise, prescribing in pregnancy, and other issues.
It is known that as pregnancy extends post-term, the incidence of placental insufficiency and foetal postmaturity (dysmaturity) increases rapidly as a consequence of reduced respiratory and nutritive placental function (27).
Placental insufficiency in relation to postterm pregnancy and fetal postmaturity.
PURSLEY, DM & CLOHERTY, JP 1998: Identifying the high-risk newborn and evaluating gestational age, prematurity, postmaturity
, large-for-gestational-age, and small-for-gestational-age infants.
Finally, although it has long been known that a cesarean section baby is more likely to have transient tachypnea of the newborn (a usually mild event), an elective cesarean section at term would decrease such risks to the fetus of postmaturity
syndrome and intrapartum mortality and morbidity.
At the same time, the expectant management group has been subjected to all the fetal risks associated with postterm pregnancy, such as macrosomia, oligohydramnios, meconium passage and aspiration, postmaturity
syndrome, perinatal asphyxia, and perinatal death, he said.
When it is established that true postmaturity
is developing, every effort should be made to effect delivery.