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VOL. 4, ISSUE 2 (2022)
Postdate pregnancy; Feto maternal outcome in a tertiary hospital in north-western Nigeria: A five year review
Authors
Burodo A T, Umar A G, Amina Gambo Umar
Abstract
Background: postdate pregnancy is one of the most common obstetric condition. Pregnancy is said to be postdated when it exceed 40 weeks of gestation. It could lead to prolonged pregnancy, increased obstetric interventions as well as maternal and fetal morbidities. Objective: This study is aimed to evaluate the feto-maternal outcome of postdate pregnancies at the Usmanu Danfodiyo University teaching Hospital (UDUTH) Sokoto. Material and Method: This was a cross-sectional study of postdate pregnancies that were managed at the Usmanu Danfodiyo university Teaching Hospital (UDUTH) Sokoto, Nigeria, from 1st jan.2017 to 31st Dec. 2021. The case records of all postdated pregnancies that delivered at UDUTH within the study period were reviewed. Data was collected using structured pro-forma including social-demographic characteristics, gestations age at delivery, maternal and fetal complications. Relevant information was analyzed using statistical package for social sciences (SPSS) version 23.re Result: There were 125 cases of postdate pregnancies reviewed giving a prevalence of 1.29 %. The mean age was 26.9 ± 5.5 years. Majority of the them were within the age group of 20 to 24 years and 25 to 29 years (36 % and 33 % respectively). They were mainly (76 %) Hausa / Fulani and the most practiced religion was Islam (82.4 %). Nulliparous women were the highest (54.4 %) number of cases. All the cases were booked and majority were delivered at gestation age of between 41 weeks to 41 plus 6 days. Among them, 26.5 % went into spontaneous labour and had spontaneous vaginal delivery, While 60 % had cervical ripening and induction of labor. The most common method of cervical ripening was by the use of misoprostol (91.9%). Vaginal delivery and caesarean section were the mode of delivery in 26.5 % and 13.3 % respectively while the remaining 60.2 % had induction of labor. Primary postpartum haemorrhage was the only maternal complication encountered in 1.6 %. There was no fetal complication observed. Conclusion: The prevalence of postdated pregnancy was 1.29 %. Majority of them (86.5 %) had spontaneous vaginal delivery and primary postpartum haemorrhage was the only maternal complication identified with no fetal complication observed.
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Pages:101-105
How to cite this article:
Burodo A T, Umar A G, Amina Gambo Umar "Postdate pregnancy; Feto maternal outcome in a tertiary hospital in north-western Nigeria: A five year review". International Journal of Medical Science and Research, Vol 4, Issue 2, 2022, Pages 101-105
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