Management of post-date pregnancy: A case control study

A. Kassis, M. Mazor, J. R. Leiberman, V. Insler, A. Cohen

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Post-date pregnancy is associated with higher rates of perinatal mortality and morbidity. The purpose of the present study was to compare the outcome of 200 post-date pregnancies, managed according to our protocol, to a marched control group of 200 healthy pregnant women delivered at term. The management protocol was based mainly on the pelvic score and nonstress test. Higher rates of labor induction, meconium-stained amniotic fluid, fetal distress, instrumental deliveries and cesarean sections were found in post-date pregnancies than in the control group (40% vs. 3% P = 0.0001, 31% vs. 15.5% P = 0.00001, 18.5% vs. 9.5% P = 0.007, 8% vs. 3% P = 0.02, 12.5% vs. 4% P = 0.002 respectively). Neonatal birth weight in the study group was significantly higher than in the control group (3,484.3 ± 410.7 vs. 3,218.4 ± 407.8 g P < 0.001). Despite these differences between the groups, the perinatal morbidity and mortality rates were similar. These results can be partially attributed to the early antenatal monitoring and intensive follow-up.

Original languageEnglish
Pages (from-to)81-86
Number of pages6
JournalIsrael Journal of Medical Sciences
Volume27
Issue number2
StatePublished - 1 Jan 1991
Externally publishedYes

Keywords

  • amnioscopy
  • nonstress test
  • perinatal morbidity
  • perinatal mortality
  • post-date pregnancy

ASJC Scopus subject areas

  • Bioengineering

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