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Overdue Pregnancy

Most pregnant ladies use their nine months holding up for this one day - their "normal date of conveyance". It is a known truth that one of each 10 pregnancies goes past 40 weeks. So when do you truly need to stress? You don't generally, in light of the fact that just truly 2.5 - 7 for every penny of all pregnancies go past 42 weeks. Up to 42 weeks, it is moderately okay to hold up without meddling unless muddlings roll out.

The leading venture to take when the pregnancy developments past 40 weeks is to find out and reconfirm the real gestational age utilizing a ultrasonography. The second thing is to pay special mind to the welfare of the infant. There are a couple of altered progressions that happen in a late pregnancy:

  • A decrease in the amniotic fluid progressively,
  • An increase in the fetal weight.
  • The ageing of the placenta.

Each of these could be screened with a sonography. A reduction in the amniotic liquid is the result of diminished pee preparation by the hatchling resulting to an abatement in blood flow through the fetal kidney (to adjust for the expanded blood stream to the fetal cerebrum).An increment in the fetal weight postures challenge in an ordinary vaginal conveyance since the child is substantial.

Furthermore in conclusion the maturing of the placenta makes a diminished flow the child this likely is the most troubling issue of a past due pregnancy.

The overdue pregnancy leads to a few fetal problems as listed below:

  • Fetal distress to due to a compression of the cord following a decrease in the fluid.
  • Fetal injuries during labour due to a large baby.
  • Post-maturity syndrome - these babies are typical in appearance. They are thin with dry, cracked, peeling, loose skin. They also have long nails and hair which may be stained yellow.
  • Necessary monitoring of an overdue baby
  • Non stress test - twice or thrice a week Fetal kick count charting - daily
  • Sonography for:
    • Baby weight
    • Amount of fluid
    • Placental age or grade
    • Biophysical profile for fetal activity and breathing movements
  • Doppler ultrasonography - for fetal circulation

What can be done to induce labour?

Various measures can be taken depending on what you and your obstetrician think best.

  • Nipple stimulation - this can be done by the mother herself but can lead to hyperactivity of the uterus sometimes.
  • Stripping the membranes - this involves manual separation of the membranes surrounding the fetus, from the lower part of the uterus. It must be performed by a doctor. It carries the risk of accidental rupture of the bag of waters.
  • Medical intervention with the help of prostaglandin E2 preparations like gels, tablets or vaginal suppositories. These may lead to hyperactivity of the uterus.

All these methods of induction may be used even before 42 weeks if there are any signs of distress to the baby or in anticipation of a difficult labour. Each of these methods carries a risk of a higher chance of Caesarean deliveries due to non-progress of labour or fetal distress. 
But don't worry, its not always that bad because only 4-8% of pregnancies actually end on their due date.