Observational Study On Maternal And Perinatal Outcome In Pregnancy Of ≥40 Weeks Gestation With Respect To Various Modes Of Delivery

Abstract

Aims and Objectives
1. To observe the mode of delivery.
2. To study the perinatal outcome.
3. To study the maternal outcome.
Material and methods: This is an observational study done in 100 pregnant women of gestational age≥40 weeks
Results: The spontaneous delivery rate is 24%, successful delivery after induction is 4%, instrumental delivery 4 %, and the cesarean section rate is 68%.In this study, the cesarean section rate in women beyond 40 weeks of gestation is 68%, The incidence of meconium-stained liquor was highest in the gestational age group≥41 weeks (77.7%).In our study the incidence of fetal weight >3.5 kg is 0.1% in 40-41 weeks and 11.1 % beyond 41 weeks. An APGAR score of > 7 at 1st minute was observed in 42% of newborns, and 98% of the newborn had an APGAR score >7 at 5thminute.5 minute APGAR was between 4-7 in 11.1 % of neonates who delivered beyond 41 weeks. One intrauterine death was reported in women of >42 weeks.7.7% and 33.3%of the newborn who delivered between 40-40wk6d and more than 41 weeks respectively were admitted in NICU.Conclusion: According to the present study, it seems reasonable to induce labour at 41 weeks of gestation as perinatal mortality and morbidity are significantly more in > 42 weeks of gestation in our setup.