As prolonged pregnancy
evolved in placental mammals, hundreds of genes began to be expressed that greatly strengthened and elaborated maternal-fetal communication, as well locally suppressing the maternal immune system in the uterus --thus protecting the developing fetus.
Most of the studies regarding the management of prolonged pregnancy
dealt with pregnancies of certain GA, where women had had early ultrasound scans.
Abnormal vasculature adaptation, resulting in aberrant blood flow, has been implicated as a possible cause of fetal growth restriction (FGR) though Samangaya et ah ruled out prolonged pregnancy
in women with preeclampsia using Sildenafil (7).
Maternal obesity has become one of the most commonly occurring risk factors in obstetric practice including greater risk of prolonged pregnancy
," the Telegraph quoted Dr Sarah Arrowsmith, from the University of Liverpool's Institute of Translational Medicine, and lead author on the paper as saying.
Although amoxicillin-clavulanate prolonged pregnancy
, it was associated with a significantly higher rate of neonatal necrotizing enterocolitis.
Edmonds (obstetrics and gynecology, Queen Charlotte's and Chelsea Hospital, London, UK) has revised this volume to include 21 new chapters that discuss recurrent miscarriage, genetics and prenatal diagnosis, drugs, emergencies, prolonged pregnancy
, termination, imaging, assisted reproduction, psychological aspects, domestic violence and sexual assault, and ethical dilemmas.
Medical indications for inducing labor include gestational diabetes, maternal renal disease, chronic pulmonary disease, chronic hypertension, chorioamnionitis, fetal demise, pregnancy induced hypertension, preeclampsia, eclampsia, fetal compromise, premature rupture of membranes, prolonged pregnancy
, hospital distance, psychosocial variances, and risk of rapid labor (ACOG, 1999).
is associated with an increased risk of intrapartum and neonatal death but not of antepartum death.
Ms Paterson-Brown argues: "Elective Caesarean section cannot guarantee normality, but it avoids the above problems by virtue of avoiding labour and prolonged pregnancy
5 Every week of prolonged pregnancy
can reduce risks, improve outcomes and reduce costs associated with preterm births.
This study was done to evaluate components of abdominal palpation for prediction of oligohydramnios in suspected prolonged pregnancy
, using the ultrasound-obtained amniotic fluid index (AFI) as a gold standard, taking into account maternal and fetal factors that may affect AFV.
It then covers complications such as recurrent spontaneous abortion, preeclampsia and eclampsia, postpartum hemorrhage, emergency care, blood group alloimmunizations, multiple gestations, prevention and management of preterm birth, placental disorders, prolonged pregnancy
, cesarean and breech delivery, analgesia and anesthesia, and neonatal encephalopathy and cerebral palsy, ending with amniocentesis and chorionic villus sampling procedures and fetal surgery.