Effects of postterm pregnancy in events related with birth and neonate

Authors

  • Jorge Manuel Balestena Sánchez Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Katisleydis González Llanes Policlínico universitario "Ernesto Che Guevara de la Serna". Sandino.
  • Adixa Balestena Justiniani Policlínico universitario "Raúl Sánchez". Pinar del Río.

Keywords:

Prolonged pregnancy, Induced labor/statistics & numerical data, Natural childbirth, Fetal Weight, Apgar Score.

Abstract

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.

Downloads

Download data is not yet available.

Author Biographies

Jorge Manuel Balestena Sánchez, Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.

Especialista de Segundo Grado en Obstetricia y Ginecología. Máster en Sexualidad. Profesor Auxiliar.

Katisleydis González Llanes, Policlínico universitario "Ernesto Che Guevara de la Serna". Sandino.

Especialista de Primer Grado en Obstetricia y Ginecología.

Adixa Balestena Justiniani, Policlínico universitario "Raúl Sánchez". Pinar del Río.

Especialista de Primer Grado en Medicina General Integral.

References

1. Peña M, Hernández C, Luis F, González E Ll. Parto inducido por embarazo prolongado. Hospital Gineco-Obstétrico "Justo Legón Padilla". Bienio 2004-2005. Revista de Ciencias Médicas Pinar del Río [Internet]. 2006 [citado 12 Feb 2013]; 10(2): [aprox. 8p.] Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942006000300002

2. Chavarry Valencia FM, Cabrera Epiquen RA, Díaz Herrera JA. Perfil del embarazo prolongado en pacientes de un hospital general. Rev Med Hered [Internet]. 2009 oct./dic [citado 30 Mayo 2013]; 20(4): [aprox. 5p.]. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1018-130X2009000400005&lng=es&nrm=iso

3. Chen PJ. Embarazo en edad avanzada. University of Maryland Medical Center. [Internet] Baltimore: University of Maryland Medical Center (UMMC) 2010[citado 12 May 2013]. Available from: http://www.umm.edu/pregnancy_spanish/000201.htm

4. Amador C, Balmaseda V, Arencibia K, Ávila D. Comportamiento del embarazo postérmino en nuestro medio. AMC [Internet]. 2009 [citado 12 Feb 2013]; 13(2): [aprox. 8p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025 -02552009000200011&lng=es&nrm=iso&tlng=es

5. Águila S, Breto A, Cabeza E, Delgado JJ, Santiesteban S. Embarazo prolongado. En: Obstetricia y Perinatología. Ciudad de la Habana: Editorial Ciencias Médicas; 2012. p. 200-2.

6. Piloto M. Estadística Piloto: paquete estadístico digital educacional para las investigaciones epidemiológicas. Rev de Ciencias Médicas Pinar del Río [Internet]. 2010 Oct [citado 12 Feb 2013]; 14(4): [aprox. 8p.]. Disponible en: http://publicaciones.pri.sld.cu/rev-fcm/rev-fcm14-4/V14n4/030410.htm

7. Vayssiere C, Haummonte JB, Chantry A, Coatleven F, Debord MP. Prolongued and posttem pregnancies guidelines for clinical practice form the French Collage of Gynecologist and Obstetricians ( CHGDF). Eur J Obstet Gynecol Reprod Biol [Internet]. 2013 Feb-20 [citado 26 Ene 2013]. Available from: http://www.ejog.org/article/S0301-2115%2813%2900069-9/pdf

8. Caughey AB, Snegovskikh VV, Norwetz ER. Post-term prenancy: how can we improve outcome?. Obstet Gynecol Surv [Internet]. 2008 [citado 12 Feb 2013]; 63(11): [aprox. 10 p.]. Available from: http://journals.lww.com/obgynsurvey/Abstract/2008 /11000/Postterm_Pregnancy__How_Can_We_Improve_Outcomes_.21.aspx

9. Corrales A, Carrillo T, Benavales ME, Borges P. Resultados perinatales de la conducta expectante en el manejo del embarazo prolongado. Rev Cubana Obstet Ginecol [Internet]. 2008 ene-abr [citado 12 Feb 2013]; 34(1): [aprox. 8p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2008000100001&lng=es&nrm=iso&tlng=es

10. Doherty L, Norwitz ER. Prolonged pregnancy:when should me intervene?. Curr Opin Obstet Ginecol [Internet]. 2008 [citado 12 Feb2013]; 20(6): [aprox. 9p.]. Available from: http://journals.lww.com/co-obgyn/Abstract/2008/12000 /Prolonged_pregnancy__when_should_we_intervene_.3.aspx

11. Winer N. Different methods for the induction of labor in postterm pregnancy. J Gynecol Obstet Biol Reprod [Internet] 2011 [citado 12 Feb 2013]; 40(8): [aprox. 15p.]. Available from: http://www.em-consulte.com/article/675238/alertePM

12. Roos N , Sahlin L, Ekman Ordeberg G, Kieler H, Slephansson O. Maternal risk factors for prost-term pregnancy and cesarean delivery following labor induction. Acta Obstet Gynecol Scand [Internet] 2010 [citado 12 Feb 2013]; 89(8): [aprox. 8p.]. Available from: http://onlinelibrary.wiley.com/doi/10.3109/00016349.2010.500009/pdf

13. Isul U, Aytek S, Osman S, Mehmet A, Ayse K. Bishop score vs ultrasound of the cervix before induction of labor for prolonged prenancy :Wich one is better for prediction of cesarean delivery. J Matern Fetal Neonatal Med [Internet]. 2013 [citado 12 Feb 2013]. Available from: http://informahealthcare.com/dvi/abs/10.3109/14767058.2013.764249

14. Chantry AA, López E. Fetal and neonatal complications, related to prolonged pregnancy. J Gynecol Obstet Biol Reprod [Internet]. 2011 [citado 12 Feb 2013]; 40(8): [aprox. 9p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22056186

15. De los Santos AM, Villa M, Villanueva D, Vallejos ML, Murgues MJ. Perinatal morbidity and mortality in late-term and post-term pregnancy. NEOSANO perinatal network´s experience en México. J Perinatol [Internet]. 2011 [citado 12 Feb 2013]; 31(12): [aprox. 5p.]. Disponible en: http://www.nature.com/jp/journal/v31/n12/abs/jp201143a.html

16. Salustiano EM, Campos JA, Ibidi SM, Ruano R, Zugaib M. Low Apgar score at 5 minutes in a low risk population: maternal and obstetrical factors and postnatal outcome. Rev Assoc Med Bras [Internet]. 2012 sept/oct [citado 12 Feb 2013]; 58(5): [aprox. 7p.]. Disponible en: http://www.scielo.br/scielo.php?pid=S0104-42302012000500017&script=sci_arttext&tlng=es

17. Salvo H, Flores J, Alarcón J, Nachar R, Paredes A. Factores de riesgo de test de Apgar bajo en recién nacido. Rev Chil Pediatr [Internet]. 2007 jun [citado 12 Feb 2013]; 78(3): [aprox. 8p.]. Disponible en: http://www.scielo.cl/scielo.php?pid=S0370-41062007000300003&script=sci_arttext

Published

2014-12-28

How to Cite

1.
Balestena Sánchez JM, González Llanes K, Balestena Justiniani A. Effects of postterm pregnancy in events related with birth and neonate. Rev Ciencias Médicas [Internet]. 2014 Dec. 28 [cited 2025 Aug. 1];18(6):953-62. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/1916

Issue

Section

ORIGINAL ARTICLES