Intrauterine Death - An Outcome of Post Term Pregnancy at Pakistan Railways Hospital Rawalpindi

Abstract

Objective: The objective is to determine the frequency of intrauterine death in post term pregnancy at Pakistan Railway Teaching Hospital - Rawalpindi. Study Design: It is an observational prospective study Place and Duration of Study: The study included four year data of all the deliveries conducted during 10th January 2005 -9th Jan 2011 at Pakistan Railways Teaching Hospital. Total 6540 deliveries were conducted during this time Materials and Methods: 104 Pregnant women with gestational age of 294 days or more, who were sure of their LMP were included. Detailed history was taken along with physical & ultrasound examination. All women with associated medical problems were excluded. Data collected about study variables was included in sample. All relevant data was collected using perform, that was developed in the light of objectives and variables. Data was analyzed on computer using SPSS Version 10. Frequency of intrauterine deaths in post term pregnancy was calculated and 95% confidence interval was calculated for it. Results: The overall prevalence of post term pregnancy was 3.13% which is much less than those in different studies. Maternal and neonatal complications were compared with normal term pregnancy. This comparative study revealed increased risk to mother and fetus as pregnancy advances beyond term.

Keywords

• post term pregnancy, apgar score, intrauterine death, perinatal mortality.