Authors: Ahamed EMS, Sana K, Awadalla A*, Hajar S, Siddig OM and Bashir A
Background: Background Post-date pregnancy is associated with an increased risk of fetal and neonatal mortality and morbidity as well as an increased maternal morbidity. Purpose: To study maternal and fetal outcomes of postdate pregnancy in Wad Madani Maternity Teaching Hospital, Gazira State. Methods: It was a case-control and hospital-based study carried out at Wad Madani Obstetrics and Gynecology Teaching Hospital from March to September 2021. Hundred-two women having pregnancy beyond 40 weeks represented the main study group, while another 204 pregnant women between 37 and 40 weeks of gestation were selected as the control group. Results: The mean age was 31.2 ± 8.4 years among the study group (post-date women), and it was 28.3 ±6.4 among the control group (term pregnant women). The majority of them 47.1% had primary education, and 49(48.1%) of them were multipara. About two-thirds of them 78 (76.5%) were in gestational age of 41 – 42 weeks. The complication was obstructed labor 6(5.9%), PPH 5(4.9%), perineal tear 5(4.9%), and sepsis 4(3.9%) in postdate women, while in term women obstructed labor 2 (5.9%), PPH 4 (1.9%), perineal tear 4 (1.9%) and sepsis 2 (1.0%). In the current study, postdate women showed higher fetal and neonatal morbidity and mortality compared with term pregnant women (10.8%) stillbirth against (2.9%) with a P value of 0.04. Conclusion: Pregnancy outcomes in post-date pregnancy were significantly poor due to macrosomia, stillbirth, high incidence of cesarean section rates, and increased rate of instrumental vaginal delivery.
Keywords: Postdate Pregnancy; Maternal Outcome; Fetal Outcome; Term Pregnancy
