Fisseha, Solomon (2014) Outcomes of Post-Term Pregnancy: Case Control Study in the Three AAU Teaching Hospitals (TAH, GMH and ZMH) 2014. Other thesis, Addis Ababa University.
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Abstract
Background: - Postterm pregnancy is defined as a pregnancy that persists beyond 294 days or 42 weeks of gestation [1, 2]. The incidence of postterm pregnancy is approximately 7% [3]. Postterm pregnancy is associated with significant risks to the pregnant woman, including labor dystocia (9-12% versus 2-7% at term), severe perinatal injury related to macrosomia (3.3% versus 2.6% at term), doubling in cesarean delivery rate with associated endometritis, PPH and thrombophlebitis [5]. Because of the accompanying maternal and fetal complications different centers adopt different strategies to avert these complications. Hence, identification of postterm pregnancy before delivery by assessing risk factors, accurate dating and proper management plays crucial role in preventing perinatal complications and results in better obstetric outcome. Objective: - to assess perinatal mortality and feto-maternal morbidities related to post-term pregnancy. Methods: - this was a hospital based unmatched case control study. The cases were postterm deliveries in the three AAU teaching hospitals that fulfill inclusion criteria, and controls were term deliveries one before and one after the cases (1:2 proportions) and fulfill inclusion criteria. Data was collected by interns and residents who were assigned in each hospital’s labor ward during the working and duty hours in the study period. The principal investigator supervised the data collection for the utmost quality. All postterm mothers who gave birth and those mothers who gave birth at term and registered just above and below the selected cases in the specified time period that fulfill the inclusion criteria were included. All the necessary information for the study were filled to a prepared structured format from the patients chart and interview. Data entered and cleaned using SPSS version 21.0 software. Analysis was done using chi-square test taking P <0.05 as statistically significant and logistic regression also used for analysis. Results and Conclusions: - Respondents previous history of postterm pregnancy, induced onset of labor and instrumental delivery were significantly associated with postterm (p<0.05). On the other hand age, neonatal outcome, maternal complications, and Apgar score did not show statistically significant difference between the two study groups (p>0.05).Recommendations: - Woman with history of postterm pregnancy needs early, accurate gestational age determination and follow up. Delivery earlier than 42 weeks may reduce instrumental and cesarean delivery. Conduct similar research with large sample size.
| Item Type: | Thesis (Other) |
|---|---|
| Subjects: | R Medicine > RG Gynecology and obstetrics |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 24 Jul 2018 08:13 |
| Last Modified: | 24 Jul 2018 08:13 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/8059 |
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