Overdue Pregnancy: What You Need to Know

Overdue Pregnancy: What You Need to Know

Previous Recommendations:

• Assessment Timeline: After the 40th week of pregnancy.

• Assessment Indicators:

• Stress test: Evaluates the fetal heart rate response to contractions.

• Non-stress test: Evaluates the fetal heart rate response to fetal movement.

• Classic and Modified Manning Scores: Assess fetal well-being based on factors such as amniotic fluid volume, fetal lung maturity, fetal movement, fetal heart rate, and amniotic fluid pH.

• Induction Timing: If the results of these tests are abnormal, induction may be recommended at the 41st week.

Induction Methods:

• Induction Methods:

• Amniotomy (Artificial Rupture of Membranes):

• Indications: Placenta previa with bleeding (to control placental bleeding), fully dilated cervix, pushing stage of labor, cervix dilated 4-5 cm with suspicious fetal heart rate (for amniotic fluid leakage).

• Other Methods:

• Labor Induction Medications

• Cesarean Section: Assessed on a case-by-case basis.

Recent Recommendations:

• Higher Risk of Asphyxia at 39 Weeks: Recent recommendations suggest a higher risk of fetal asphyxia at 39 weeks.

• Fetal Health Monitoring:

• After 39 Weeks: Regular fetal health monitoring tests are recommended.

• At 40 Weeks: Induction of labor is not necessary.

Test Results:

• Non-Stress Test:

• Reactive: Fetal heart rate accelerates with fetal movement.

• Non-Reactive: Fetal heart rate does not accelerate with fetal movement.

• Stress Test:

• Reactive: Fetal heart rate decelerates with uterine contractions.

• Non-Reactive: Fetal heart rate does not decelerate with uterine contractions.

Cases Requiring Early Termination of Pregnancy:

• Predictable Cases:

• Maternal heart conditions, high blood pressure

• Placenta previa

• Less Predictable Cases:

• Gestational diabetes (fetal hypoglycemia):

• Hospitalization recommended at week 37

• Preeclampsia

Note: This information is for informational purposes only. Please consult your obstetrician for personalized advice and monitoring tailored to your specific circumstances.