Beatrix Mita Sadipun studies History of Accounting Thought and Kesehatan. Abstract. Background: Intrauterine growth restriction (IUGR) is an obstetrical IUGR are reviewed, and a management strategy is suggested. Prolonged rupture of membranes. Familial predisposition. Maternal hypertension or toxemia. Cesarean section without labor. IUGR/SGA. Perinatal asphyxia.
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Beatrix Mita Sadipun –
The risk of meconium-stained amniotic fluid was reduced, but the risks of meconium aspiration syndrome and neonatal seizures were unaffected Crowley, Membrane sweeping or stripping is a relatively simple technique usually performed without admission to hospital. A randomized controlled trial. Effect of coitus at term on length of gestation, induction of labor, and mode of delivery.
A comparison of various routes and dosages of misoprostol for cervical ripening and the induction of labor. Acute oligohydramnios in postdate pregnancy.
Cochrane systematic reviews demonstrated that prostaglandins PGs improve cervical ripeness and could initiate uterine contractions Boulvain et al.
First versus second trimester ultrasound: However, a Cochrane review concluded that the role of sexual intercourse as a method of induction of labour is uncertain and that further studies of sufficient power are needed to assess its value Kavanagh et al. It is not well understood why some women become postterm although in obesity, hormonal and genetic factors have been implicated.
Comparison of pregnancy dating by last menstrual period, ultrasound mskalah, and their combination.
What is the best measure of maternal complications of term pregnancy: However, their value in reducing induction-delivery interval and CS rate in postterm women is debatable Rayburn et al. Corticotropin-releasing hormone directly and preferentially stimulates dehydroepiandrosterone sulphate secretion by human fetal adrenal cortical cells.
Neonatal complications of postterm gestation. Women who have passed their EDD but who have not yet reached 42 weeks of gestation constitute another group for whom antenatal fetal surveillance has been proposed. Using a number needed iigr treat calculation, it was found that for approximately every 20 women who successfully decreased BMI below the obesity range, one fewer woman would go past 41 weeks of gestation adjusted odds ratio of 1.
Labor characteristics of iuugr prolonged pregnancies after induction with intracervical prostaglandin E2 gel versus intravenous oxytocin. Patient-administered outpatient intravaginal prostaglandin E2 suppositories in post-date pregnancies: Cochrane Database of Systematic Reviews. Clinical criteria which makalqh commonly used to confirm gestational age include iugd menstrual period LMPthe size of the uterus as estimated by bimanual examination in the first trimester, the perception of fetal movements, auscultation of fetal heart tones, and fundal height in a singleton pregnancy.
A Cochrane review Boulvain et al. Clinicians are less concerned about IOL in makalwh with a favourable cervix; these women are more likely to go into spontaneous labour on their own, and if induced, induction is more likely to succeed. Perinatal mortality per ongoing pregnancies. Higher doses of PG especially PGE1 have been associated with an increased risk of uterine tachysystole and hyper-stimulation leading to non-reassuring fetal testing results How et al.
Prospective risk of unexplained stillbirth in singleton pregnancies at term: Complement Ther Nurs Midwifery. In women who deliver prematurely the exponential rise is more rapid than those delivering at term, while in women who deliver postterm the rate of rise is slower Ellis et al.
Clin Res Ed ; Placental insufficiency in relation to postterm pregnancy and fetal postmaturity. It is seen in higher rates in postterm neonates Kabbur et al. Malalah of term pregnancies beyond 37 weeks of gestation. Another study of this issue, showed that prolonged pregnancy is less common in women dated by ultrasound before 12 weeks compared with women scanned between 12 and 24 weeks 2.
A role for estriol in human labor, term and preterm. The study also showed that the increase in maternal complications persisted at statistically and clinically significant levels even allowing for the increase in operative deliveries. Int J Feto-Maternal Med. The emotional impact of prolonged pregnancy jakalah not be underestimated either. It is believed that utero-placental insufficiency, meconium aspiration and intrauterine infection are the underlying causes of the increased perinatal mortality rates in these cases Hannah, Risks have been underestimated in the past for two reasons.
Hence, the definition and management of postterm pregnancy have been questioned and challenged in several studies in recent years Caughey et al. Low pregravid body mass index as a risk factor for preterm birth: When PG is used, fetal heart rate monitoring should be performed routinely to assess fetal well-being because of the risk of uterine hyper-stimulation.
Open in a separate window. In one retrospective study, women with routine antenatal makala from 41 weeks had lower rates of caesarean delivery for non-reassuring fetal testing than women in whom testing was started at 42 weeks 2. This includes membrane sweeping, unprotected sexual intercourse, nipple stimulation and acupuncture.
Therefore the definition and management of postterm pregnancy have been challenged in several studies in recent years. Patient satisfaction was significantly higher in women randomly assigned to labour induction. Relationship between stillbirth and gestational age Yudkin et al.