Post-Term Pregnancy: Risks Associated with Passing the Due Date

Symptoms, Complications

By Christine Cadena, published Oct 03, 2007
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Normal gestational period is considered to be 38 to 40 weeks in pregnancy. For many women, the arrival of their new bundle of joy will occur during this well calculated time period. Referred to as the "due date", women eagerly await and plan for the arrival of the newborn, focused upon this unique date.

For some infants, however, birth is delayed even going beyond the standard 40 week gestational period. When passing through the 42nd week of gestation, obstetricians refer to this as a post-term pregnancy. While you may not know anyone personally who has experienced a post-term pregnancy, there are many women who do. In fact, it is estimate that nearly 10 percent of all pregnancies end in a post-term status.

If you are approaching your due date, it is important to discuss with your obstetrician the plans that will be taken should you labor not begin by your due date. With a significant number of health risks to both you and your infant, post-term pregnancy can result in a complicated birthing process, especially when your infant is considered larger than normal.

Among the risks you may face, as the mother-to-be, if your gestational period is permitted to expand beyond 42 weeks, you may be at risk for a cervical rupture, shoulder dystocia, post partum hemorrhaging and even puerperal infections.

As if that wasn't risk enough, your infant may also suffer serious health consequences as a result of a post-term birth. Such risks to your infant may include bone fractures, peripheral nerve paralysis and even aspiration and asphyxia.

When your pregnancy extends beyond 40 weeks, your obstetrician should begin to make plans to induce your labor. Reaching the 42nd week of gestation is very risky and often results in the need for cesarean section. Furthermore, if your pregnancy involved complications associated with diabetes, hypertension, placenta complication or other complicating health conditions, the induction of your labor at 40 weeks may even be considered too late in the pregnancy.

Takeaways
Did You Know?
If your gestational period is permitted to expand beyond 42 weeks, you may be at risk for a cervical rupture, shoulder dystocia and post partum hemorrhaging
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Actually, labour should not be induced before 40 weeks unless there is a compelling reason to do so (e.g. serious illness in the mother, suspected compromise of the baby). In Canada, the recommendation is that if you're going to induce for post-dates, you should wait until 41 weeks plus 5 days unless you need to induce earlier for some reason. If the mother and doctor decide not to induce and the mother goes over 42 weeks, she should have twice weekly surveillance and during labour she should be on continuous fetal monitoring. If you induce at 38-40 weeks for a singleton pregnancy, you run the risk of a preterm baby that will have more problems, unless there is compelling evidence that the baby needs to be born now for medical reasons. The one exception is a multiple gestation. Twins, for instance, mature faster and going over 38 weeks is considered post-dates for twins.

Posted on 06/02/2008 at 8:06:15 PM

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