Analysis of post-term pregnancy management in Slovenia in 2012
DOI:
https://doi.org/10.14528/snr.2017.51.3.169Keywords:
post-term pregnancy, induction of labour, cesarean sectionAbstract
Introduction: There are various definitions of post-term pregnancy found in the literature, so guidelines for its management also vary. Pregnancy after 41 weeks of gestation results in additional risks for the foetus,so a decision to induce labour is often taken. However, induction can also cause certain complications and increase the need for proceeding to an operative birth. Methods: A quantitative approach was used in the research, which was based on data taken from the national perinatal information system. 10,163 births following post-term pregnancies were included in the analysis. Analysis was conducted with the statistical programme SPSS version 18.0, using descriptive statistics. Results: It has been established that with the extension of the pregnancy, the induction rate increases; after the 42nd week of gestation it reaches 41.8 %. Simultaneously, also the rate of operative deliveries grows and reaches 24.9 % after the 42nd week of gestation. Discussion and conclusions: The results on the type of labour in the case of post-term pregnancies in Slovenia confirm the findings of foreign research studies. Further research should focus on the state of health of post-mature newborn infants since the manner of completing the pregnancy does not necessarily indicate the well-being of a newborn infant. It might be useful to research Apgar scores, admission rates to intensive care units, blood pH values and reanimation procedures.Downloads
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Balchin, I., Whittaker, C.J., Patel, R.R., Lamont, F.R. & Steer, J.P., 2007. Racial variation in the association between gestational age and perinatal mortality: prospective study. British Medical Journal, 334, art. ID 7598, pp. 833–835. PMCid:PMC1853199
Berkowitz, K. & Garite, T., 2008. Postdatism. Available at: http://www.glowm.com/section_view/heading/Postdatism/item/123#sectionView [30. 10. 2015].
Bodner-Adler, B., Bodner, K., Pateisky, N., Kimberger, O., Chalubinski, K., Mayerhofer, K., et al., 2005. Influence of labor induction on obstetric outcomes in patients with prolonged pregnancy. Wiener klinische Wochenschrift, 117(7–8), pp. 287‒292. https://doi.org/10.1007/s00508-005-0330-2 PMid:15926620
Caughey, B.A., 2015. Postterm Pregnancy. Available at: http://emedicine.medscape.com/article/261369-overview#a30 [10. 1. 2016].
Denison, F.C., Graham, C., Liston, W.A., Price, J. & Wild, S., 2008. Maternal obesity, length of gestation, risk of postdates pregnancy and spontaneous onset of labour at term. Journal of Obstetrics and Gynaecology, 115(6), pp. 720‒725. https://doi.org/10.1111/j.1471-0528.2008.01694.x PMid:18410655; PMCid:PMC2344995
El-Gilany, A. & Hammad, S., 2010. Body mass index and obstetric outcomes in pregnant in Saudi Arabia: a prospective cohort study. Annals of Saudi Medicine, 30(5), pp. 376‒380. https://doi.org/10.4103/0256-4947.67075
Felc, Z., 2008. Opredelitev novorojenčka po gestacijski starosti. In: Osnove neonatologije. Maribor: Univerza v Mariboru, Fakulteta za zdravstvene vede, pp. 58‒60.
Gherman, R. & Ouzounian, J., 2005. Shoulder dystocia: are historic risk factors reliable predictors? American Journal of Obstetrics and Gynecology, 192(6), pp. 1933‒1935. https://doi.org/10.1016/j.ajog.2005.02.054 PMid:15970854
Gulmezoglu, A.M., Crowther, C.A., Middleton, P. & Heatley, E., 2012. Induction of labour for improving birth outcomes for women at or beyond term. Cochrane database of systematic reviews, 6, art. ID CD004945. https://doi.org/10.1002/14651858.CD004945.pub3 PMid:22696345; PMCid:PMC4065650
Harder, U. & Hauser, R., 2007. Einleitung der Geburt. In: C. Geist, U. Harder, & A. Stiefel, eds. Hebammenkunde. 4th ed. Stuttgart: Hippokrates, pp. 322‒328.
Heimstad, R., Romundstad, P.R., Eik-Nes, S.H. & Salvesen, K.A., 2006. Outcomes of pregnancy beyond 37 weeks of gestation. Obstetrics & Gynecology, 108(3), pp. 500‒508. https://doi.org/10.1097/01.AOG.0000227783.65800.0f PMid:16946207
Hovi, M., Raatikainen, K., Heiskanen, N. & Heinonen, S., 2006. Obstretic outcome in post-term pregnancies: time for reappraisal in clinical management. Acta obstetricia et gynecologica Scandinavica, 85(7), pp. 805‒859. https://doi.org/10.1080/00016340500442472 PMid:16817077
Inštitut za varovanje zdravja Republike Slovenije, 2013. Perinatalni informacijski sistem Slovenije 2012. Available at: http://www.nijz.si/sl/podatki/perinatalni-informacijski-sistem [15. 1. 2016].
Iyoke, A.C., Kanario Onyebuchi, A., Lucky Lawani, O., Nwachukwu Okafo, C. & Ogbonna Ajah, L., 2014. Obstetric outcome and significance of labour induction in a health resource poor setting. Obstetrics and Gynecology International, art. ID 419621, pp. 1‒5. http://dx.doi.org/10.1155/2014/419621
Lockwood, C., 2014. Management of late-term and postterm pregnancies. ACOG Practice Bulletin, no. 146. Obstetrics & Gynecology, 124, pp. 390‒396. https://doi.org/10.1097/01.AOG.0000452744.06088.48 PMid:25050770
National Collaborating Centre for Women's and Children's Health, 2008. Induction of labour. NICE Clinical Guidelines, no. 70. London: RCOG. Available at: https://www.ncbi.nlm.nih.gov/books/NBK53617/ [ 15. 1. 2016].
Novak Antolič, Ž. & Verdenik, I., 2015. Vitalna statistika. In: M. Pajntar, Ž. Novak Antolič & M. Lučovnik, eds. Nosečnost in vodenje poroda. 3. izd. Ljubljana: Medicinski razgledi, pp. 23‒25.
Pajntar, M., 2015a. Podaljšana ali poterminska nosečnost. In: M. Pajntar, Ž. Novak Antolič & M. Lučovnik, eds. Nosečnost in vodenje poroda. 3. izd. Ljubljana: Medicinski razgledi, pp. 316‒318.
Pajntar, M., 2015b. Fetalni distres v nosečnosti in med porodom. In: M. Pajntar, Ž. Novak Antolič & M. Lučovnik, eds. Nosečnost in vodenje poroda. 3. izd. Ljubljana: Medicinski razgledi, pp. 260‒265.
Pajntar, M., 2015c. Sprožitev poroda. In: M. Pajntar, Ž. Novak Antolič & M. Lučovnik, eds. Nosečnost in vodenje poroda. 3. izd. Ljubljana: Medicinski razgledi, pp. 270‒273.
Pajntar, M. & Trošt, D., 2015. Lajšanje porodnih bolečin. In: M. Pajntar, Ž. Novak Antolič & M. Lučovnik, eds. Nosečnost in vodenje poroda. 3. izd. Ljubljana: Medicinski razgledi, pp. 181‒9.
Rimmer, A., 2014. Prolonged pregnancy and disorders of uterine action. In: J. Marshall & M. Raynor, eds. Myles textbook for midwives. 16th ed. London: Churchill Livingstone Elsevier, pp. 417‒435.
Simčič, B. & Poldrugovac, M., 2015. Kazalniki kakovosti v zdravstvu – letno poročilo 2012 in 2013. Ljubljana: Ministrstvo za zdravje Republike Slovenije, pp. 23–24.
Slome Cohain, J., 2012. Reducing inductions: lack of justifiction to induce for ≫postdates≪. In: M. Mclean, M. Odent, A. Fyre & G. Hail, eds. The Postdates & postmaturity handbook. Eugene: Myidwifery today, pp. 45‒55.
Thorogood, C. & Donaldson, C., 2015. Disturbances in the rhythm of labour. In: S. Pairman, J. Pincombe, C. Thorogood & S. Tracy, eds. Midwifery: preparation for practice. 3th ed. Sydney: Churchill Livingstone Elsevier, pp. 986‒1040.
Tul Mandić, N., Sketelj, A. & Novak Antolič, Ž., 2015. Ultrazvočna preiskava. In: M. Pajntar, Ž. Novak Antolič & M. Lučovnik, eds.. Nosečnost in vodenje poroda. 3. izd. Ljubljana: Medicinski razgledi, pp. 114‒120.
Willacy, H., 2012. Post-term pregnancy (prolonged pregnancy). Available at: https://patient.info/doctor/post-term-pregnancyprolonged-pregnancy [20. 1. 2016].
World Medical Association, 2013. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), pp. 2191–2194. Available at: http://www.wma.net/en/20activities/10ethics/10helsinki/DoH-Oct2013-JAMA.pdf [1. 9. 2016].
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