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Revista de Ciencias Médicas de Pinar del Río

On-line version ISSN 1561-3194

Abstract

BALESTENA SANCHEZ, Jorge Manuel; GONZALEZ LLANES, Katileydis  and  BALESTENA JUSTINIANI, Adixa. Effects of postterm pregnancy in events related with birth and neonate. Rev Ciencias Médicas [online]. 2014, vol.18, n.6, pp. 953-962. ISSN 1561-3194.

Introduction: prolonged pregnancy is an obstetric condition that provokes a degree of disturbances, apprehension and mounting anxiety of the pregnant woman and her family. Objective: to determine the effects of postterm pregnancy in different events related to birth and neonate. Material and method: a retrospective, observational, cross-sectional and analytical study was carried out at Abel Santamaría Cuadrado University Hospital during the second term of 2013. The target group included the total of pregnant women admitted throughout the period mentioned, the sample comprised the patients having a prolonged pregnancy (study group n1=106) and the control group consisted of pregnancies between 38 and 41 weeks (n2=216). Absolute and relative frequencies, means and standard deviation were calculated. Chi square test with a level of confidence of Α α <0, 05 was used. Results: prolonged pregnancy is an obstetric condition where labor induction increases (74,5%); eutocic delivery predominated (64,15%), clear amniotic fluid (65,1%), weight higher than 2500 grams (53,77%) and male sex (62,35%). The 97,2% of neonates had an APGAR test ≥ 7 scoring. There was an association between postterm pregnancy, labor induction, cesarean section, neonate with >3500 grams and meconium fluid. Conclusions: postterm pregnancy is considered a risk factor to labor induction, cesarean section, meconium presence and neonates with higher weight.

Keywords : Prolonged pregnancy; Induced labor [statistics & numerical data]; Natural childbirth; Fetal Weight; Apgar Score.

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