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Background: Prolonged pregnancy is one that exceeds 42 0/7weeks. Management of prolonged pregnancy is very challenging in modern obstetrics.Methods: It is prospective observational study in department of Obstetrics and Gynecology, Shri B.M Patil medical college and Research center, deemed to be University, Vijayapur, North karnataka. Study period was from January 2018 to January 2019.Results: Total of 186 pregnant women were included in the study. Results in terms of age, gravidity, gestational age, time of induction, mode of delivery, neonatal outcome and maternal complications.Conclusion: Pregnancies beyond 40 weeks require early detection, effective fetal monitoring and proper planning of labour. In pregnancies beyond 40 weeks, decision of induction should be taken cautiously as early induction leads to failure of induction and increased rates of lower (uterine) segment Caesarean section (LSCS), while delayed induction leads to increased fetal complications.
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Background: This study aimed to determine effectiveness of sweeping of membranes on the duration of pregnancy at term, and its effect on maternal and neonatal outcomes.Methods: In this prospective study, 145 women with uncomplicated pregnancy at 39 weeks or more gestation who were attending regular ANC clinic, were recruited for study, out of them 60 were cases (sweeping group) and 85 were control (no sweeping group). Primary outcome measure was occurrence of spontaneous labour and total duration of pregnancy. Other outcome measures included were interval of onset of labour from membrane sweeping, incidence of premature rupture of membranes, total duration of active labour, mode of delivery, rate of caesarean section and causes, and neonatal and maternal outcome.Results: There were no statistically significant differences between the two groups regarding maternal age, parity and bishops score at recruitment. There was a significant difference observed in spontaneous labour rate and interval time between recruitment to delivery in groups. There was no significant difference regarding mode of delivery, maternal and fetal outcomes.Conclusions: Membrane sweeping is a safe procedure that reduces the incidence of post-term pregnancies if applied at term.
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Abdominal ectopic pregnancy is a dramatic situation for the woman's health. It is a rare pathology that proves to be a difficult test even for the most experienced gynecologists in diagnostic ability, decision-making and surgical technique. We present the case of a hospitalized post-term ectopic abdominal pregnancy with a dead fetus inside the chorioamniotic sac and the placenta implanted on vital abdominal viscera. We describe the clinical data, operative findings and conservative management of the retained placenta, followed by a bibliographic review on the subject.
El embarazo ectópico abdominal representa una situación dramática para la salud de la mujer. Al ser una patología poco frecuente, resulta al ginecólogo una prueba difícil para habilidad diagnóstica, capacidad de decisión y técnica quirúrgica, incluso para el más experto. Se presenta un caso de embarazo ectópico abdominal postérmino, que llegó con óbito fetal dentro de la bolsa corioamniótica y la placenta implantada sobre vísceras abdominales. Se describe los datos clínicos, hallazgos operatorios y el manejo conservador de la placenta retenida, y se hace una revisión bibliográfica del tema.
ABSTRACT
Objective To understand the status of post-term pregnancy and associated social factors among pregnant women in Jiaxing city, from 1993 to 2000. Methods The study population consisted of 16 033 women who had delivered singleton live births in Jiaxing city, Zhejiang province, from 1993 to 2000. Chi-square test was employed to test the difference of proportions between respective groups. Multivariate logistic regression was conducted to examine the factors associated with post-term pregnancy. Results The incidence rates of post-term pregnancy were 8.7%, 10.6%, 9.4%, 7.4%, 4.3%, 2.6%, 3.3% and 4.0% from 1993 to 2000, respectively. Women who received premarital health care serviees had lower (5.6%) post-term incidence than those who did not (7.8%). Women who received county or above level health care services had lower (4.3%) post-term incidence than women who receive township level service (8.5%). Women who had primary school education had higher (11.5%) post-term incidence than women who received junior higher school education (6.8%), senior high school education (3.8%), or college education (2.9%), (P< 0.001). Farmers had higher (9.5%) post-term incidence than workers in the rural areas (8.9%), in urban areas (4.3%) or women with other professions (4.2%). Women whose husbands were rural workers had higher (9.8%) post-term incidence than farmers (9.4%), urban workers (5.0%)or with other professions (3.6%, P<0.001). Data from multivariate logistic regression showed that the risk of post-term pregnancy was associated with the length and the level of using health care services together with schooling and occupation. Conclusion The incidence of post-term pregnancy was decreasing in Jiaxing city during the period from 1993 to 2000 and the risk was associated with the length and level of health care service as well as the level of education and occupation of those women.