Management of pregnancy beyond 40 weeks' gestation

Donald Briscoe, Hayley Nguyen, Melanie Mencer, Neeta Gautam, Daniel B. Kalb

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations

Abstract

A post-term or prolonged pregnancy is one that reaches 42 weeks' gestation; approximately 5 to 10 percent of pregnancies are post-term. Studies have shown a reduction in the number of pregnancies considered post-term when early ultrasound dating is performed. Maternal and fetal risks increase with gestational age, but the management of otherwise low-risk prolonged pregnancies is controversial. Antenatal surveillance with fetal kick counts, nonstress testing, amniotic fluid index measurement, and biophysical profiles is used, although no data show that monitoring improves outcomes. Studies show a reduction in the rate of cesarean deliveries and possibly in neonatal mortality with a policy of routine labor induction at 41 weeks' gestation. Copyright

Original languageEnglish (US)
Pages (from-to)1935-1941
Number of pages7
JournalAmerican Family Physician
Volume71
Issue number10
StatePublished - May 15 2005

ASJC Scopus subject areas

  • Family Practice

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