Objective(s):- To assess the perinatal outcome in pregnancy beyond 40 weeks in terms of fetal distress, meconium aspiration syndrome, low apgar score, nicu admission, caesarean section.
Study design:- This is a hospital based observational study conducted at Obstetrics and Gynecology Department, S.M.S College Jaipur from April 2014 onwards.
Sample size:- The sample size was calculated 596 subjects at 95% confidence limit and 10% relative allowable error, assuming 39.3% beyond 40 weeks of pregnancy proportion of women who delivered child( as per seed article). Perinatal Outcome Noted in Terms of Meconium Aspiration, Fetal Distress, Macrosomia, Low Apgar Score, Rate of Cesarean Section, NICU Admission Rate.
Result(s):- out of 596 babies delivered 89(14.93%) babies had meconium aspiration .And out of these 89 babies 50 (8.39%) got admitted to nicu. P value for distribution of meconium aspiration and nicu admission in was p<0.001, this was found highly significant.
Conclusion(s):- The management of pregnancy beyond 40 weeks remains controversial. The value of routine induction of labour in such pregnancy also remains controversial because of the concern that it may result in an increase in the incidence of caesarian section without any significant improvement in the fetal outcome. In infants admitted to NICU one of the risk factor attributed is postdatism. So care of the post-dated fetus should start right from in utero. In this complex clinical condition we should identify the fetus at risk and to institute an appropriate management following adequate counseling of patient.