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[Prolonged pregnancy and perinatal distress].

D Collin, N Spira, C Rumeau-Rouquette

    Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
    |October 1, 1977
    PubMed
    Summary

    Prolonged pregnancies are not always post-term. Infants born after a longer-than-average amenorrhoea period but without postmaturity signs showed no increased risk of neonatal distress.

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    Journal of comparative pathology·2015

    Area of Science:

    • Obstetrics and Gynecology
    • Perinatology
    • Maternal-Fetal Medicine

    Context:

    • Analysis of 2806 deliveries at Haguenau Maternity.
    • Focus on pregnancies with amenorrhoea exceeding 42 weeks (menstrual cycle 28 +/- 8 days).
    • Investigating the relationship between prolonged amenorrhoea, postmaturity signs, and neonatal outcomes.

    Purpose:

    • To determine if pregnancies with amenorrhoea longer than 42 weeks are truly prolonged.
    • To assess the incidence of postmaturity and fetal distress in such pregnancies.
    • To compare neonatal outcomes between theoretically prolonged pregnancies with and without postmaturity signs.

    Summary:

    • 212 out of 2806 women experienced amenorrhoea > 42 weeks.
    • 18% (39/212) of these infants exhibited postmaturity signs, with increased fetal distress.

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  • Neonatal distress was not elevated in infants from theoretically prolonged pregnancies without postmaturity signs compared to term births.

    • Impact:

    • Challenges the definition of 'prolonged pregnancy' based solely on amenorrhoea duration.
    • Highlights the importance of assessing for postmaturity signs rather than just amenorrhoea length.
    • Suggests that ultrasound-based uterine growth scans may better identify truly prolonged pregnancies.