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[Prolonged pregnancy: pathophysiology and clinical aspects].

H Schneider1, U Herrmann

  • 1Universitäts-Frauenklinik Bern.

Geburtshilfe Und Frauenheilkunde
|January 1, 1990
PubMed
Summary

Postdate pregnancies pose risks due to potential placental dysfunction and fetal hypoxia. Monitoring fetal well-being with ultrasound and cardiotocography guides delivery decisions, avoiding unnecessary induction.

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Area of Science:

  • Obstetrics and Gynecology
  • Perinatology

Context:

  • Postdate pregnancy is a significant clinical challenge with potential medicolegal implications.
  • Placental dysfunction can lead to fetal hypoxia and asphyxia in post-term fetuses.
  • Reduced amniotic fluid volume and cord compression are key concerns.

Purpose:

  • To outline a monitoring strategy for postdate pregnancies based on fetal well-being.
  • To emphasize ultrasound assessment of amniotic fluid and cardiotocography for risk stratification.

Summary:

  • Monitoring postdate pregnancies involves ultrasound assessment of amniotic fluid volume and cardiotocography.
  • Induction of labor is indicated by a small amniotic fluid pocket (<3 cm) or variable fetal heart rate decelerations.
  • A nonreactive nonstress test warrants a complete biophysical profile assessment.

Impact:

  • This approach allows for continued pregnancy when fetal well-being is confirmed.
  • It aims to mitigate risks associated with postdate pregnancies and optimize outcomes.
  • Individualized management based on fetal monitoring can prevent adverse events.

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