22/10/2025
A POST-DATE PREGNANCY (BEYOND 42 WEEKS).
Post Date increases health risks for both the baby and the mother due to potential placental aging and increased fetal size.
RISKS TO THE BABY
✅ Fetal stress: The placenta may not function as effectively, reducing oxygen and nutrient supply to the baby.
✅ Growth issues: The baby may not grow as well as before due to less oxygen and nutrients.
✅ Meconium aspiration: The baby may pass its first stool, called meconium, into the amniotic fluid. The baby could then inhale this fluid, causing breathing problems after birth.
✅ Macrosomia: The baby may be larger than average, which can lead to difficulties during a vaginal delivery.
✅ Low amniotic fluid: The amount of fluid around the baby may decrease, which can compress the umbilical cord and limit oxygen and nutrient flow.
RISKS TO THE MOTHER
✅ Difficult labor: A larger baby can increase the risk of labor dystocia, a difficult or prolonged labor.
✅ Surgical or instrumental birth: There is a higher chance of needing a cesarean section or an operative vaginal delivery (using forceps or a vacuum).
✅ P@rineal tears: The risk of severe p@rineal tears (third and fourth degree) is increased.
RISK OF STILLBIRTH
✅ Still>birth is not common, but the risk begins to increase after 42 weeks of gestation.
MANAGEMENT
✅ Monitoring: Healthcare providers may use tests like non-stress tests, biophysical profiles, and ultrasound to monitor the baby’s well-being.
✅ Induction of labor: Delivery is often induced to mitigate the risks of a post-term pregnancy.
Cesarean delivery: In some cases, a cesarean section may be recommended.
