Management and Obstetric Outcomes of Post-date Pregnancies in Abakaliki, Ebonyi State, Southeast Nigeria: A Cross-sectional Study

Author:

Onyebuchi Azubuike1ORCID,Okafor Love1,Mamah Johnbosco1ORCID,Obi Vitus1,Esike Chidi1,Umeora Odidika1,Otu Chichetaram1

Affiliation:

1. Department of Obstetrics and Gynaecology, Alex-Ekwueme Federal University Teaching Hospital, Abakalik, Ebonyi, Nigeria.

Abstract

Objectives: This study aimed to evaluate the fetomaternal outcomes of post-date pregnancies. Materials and Methods: We carried out a cross-sectional study of post-date pregnancies managed at Federal Teaching hospital, Abakaliki, Nigeria, from January 2013 to December 2015. Pregnancies delivered at 40 weeks and 10 days or more were included. Data was collected using a structured proforma, including sociodemographic characteristics, gestational age at delivery, and maternal and fetal complications. Data analysed using Epi Info version 7. Results: The majority of the women (80.7%) had labor induction at the gestational age of 41 weeks and three days. Vaginal delivery and cesarean sections were the mode of delivery in 73.9% and 25.0% of women, respectively. Cesarean sections were mainly for labor dystocia (54.5%). The mean age of the women was 28.0 ± 4.4 yr. 38.6% of women were nulliparous. The main neonatal complication was sepsis (10.2%). Perinatal deaths were reported in 1.1% of neonates. Primary postpartum hemorrhage was reported in 6.8% of women. Conclusions: Due to the higher prenatal complications and the need for obstetric and gynecological interventions in postpartum pregnancies, early ultrasound and induction of labor are recommended to reduce adverse outcomes.

Publisher

International Journal of Women's Health and Reproduction Sciences

Subject

Obstetrics and Gynecology,Reproductive Medicine

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1. Postdate Pregnancy Maternal and Fetal Outcomes among Sudanese Women;Clinical Journal of Obstetrics and Gynecology;2023-10-10

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