?

Increased perinatal mortality the longer the pregnancy gets

? Increased morbidity
? Oligohydramnios
? Fetal growth disorder
? Postmaturity

ON FETUS

? Increased perinatal mortality the

? Old man facies - open eyes, unusually alert, looks worried longer the pregnancy after the EDD
? Wrinkled, peeling skin ?Increased morbidity
? Long nails ? Anxiety
? Thin and with very little subcutaneous fat
? At birth, they may be hypoglycemic and hypoxic.
uteriplacental insufficiency

POSTMATURITY COMPLICATIONS ON MOTHER

Most commonly due to error in pregnancy dating

POST TERM ? Anencephaly: absent fetal brain leads to dysfunction of

Bishop?s scoring
- score < 6: Cervical priming agents like
prostaglandins, membrane sweeping,
foley catheter or laminaria, are used to
ripen the cervix
hypothalamic pituitary adrenal axis and prolonged
PREGNANCY
ETIOLOGY gestation
? Uncomplicated pregnancy 42 0/7 weeks AOG
and beyond ? Placental sulfatase deficiency (X-linked recessive:
? Fetal surveillance with daily fetal sulfatase deficiency leads to low estriol which is important
kick count, biophysical profile or in labor onse
modified biophysical profile (AFV +
NST) once to twice weekly until 42
weeks
? Membrane sweeping, which
stimulates prostaglandin release from
the membrane-decidua complex, has
not been proven to induce labor, but it
is widely practiced

MANAGEMENT ? Based on UTZ aging done on first

? At 42 weeks, delivery should be trimester (error of 5-7 days only
undertaken Fetal surveillance is the DIAGNOSIS compared when done at later
initial management
trimesters)

Complicated pregnancy that involves

complications like oligohydramnios,
hypertension or other obstetric conditio