TY - JOUR
T1 - Postterm pregnancy
T2 - How can we improve outcomes?
AU - Caughey, Aaron B.
AU - Snegovskikh, Victoria V.
AU - Norwitz, Errol R.
PY - 2008/11/1
Y1 - 2008/11/1
N2 - Postterm pregnancy is defined as one which has progressed to 42 0/7 weeks or beyond. The most common reason to be diagnosed with a postterm pregnancy is inaccurate pregnancy dating, but it is also associated with obesity, nulliparity, and a prior history of postterm pregnancy. The rate of postterm pregnancy appears to be decreasing whether due to improved pregnancy dating or an increase in induction of labor. Postterm pregnancy is associated with both maternal and neonatal morbidity and fetal and neonatal mortality; similarly pregnancies beyond 41 weeks' gestation are associated with increases in these perinatal complications. Prevention of postterm pregnancies may include stripping or sweeping the membranes and unprotected coitus. Management of such pregnancies may include induction of labor and fetal antenatal monitoring. Individual patient management should involve careful counseling regarding the risks and benefits of each of the components of care. copyright
AB - Postterm pregnancy is defined as one which has progressed to 42 0/7 weeks or beyond. The most common reason to be diagnosed with a postterm pregnancy is inaccurate pregnancy dating, but it is also associated with obesity, nulliparity, and a prior history of postterm pregnancy. The rate of postterm pregnancy appears to be decreasing whether due to improved pregnancy dating or an increase in induction of labor. Postterm pregnancy is associated with both maternal and neonatal morbidity and fetal and neonatal mortality; similarly pregnancies beyond 41 weeks' gestation are associated with increases in these perinatal complications. Prevention of postterm pregnancies may include stripping or sweeping the membranes and unprotected coitus. Management of such pregnancies may include induction of labor and fetal antenatal monitoring. Individual patient management should involve careful counseling regarding the risks and benefits of each of the components of care. copyright
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U2 - 10.1097/OGX.0b013e318186a9c7
DO - 10.1097/OGX.0b013e318186a9c7
M3 - Review article
C2 - 18928576
AN - SCOPUS:59649112026
VL - 63
SP - 715
EP - 724
JO - Obstetrical and Gynecological Survey
JF - Obstetrical and Gynecological Survey
SN - 0029-7828
IS - 11
ER -