Fetomaternal Outcome of Postdated Pregnancy

Abstract Background: Fetomaternal outcome is affected by postdatism in pregnancy. This study was conducted to evaluate the fetomaternal outcome in postdated pregnancies. Materials and Methods: The present longitudinal study was done in 100 postdated pregnancy patients who were admitted in the obstetrics ward at a tertiary care center from November 2023 to July 2024. Results: In the present study, out of 100 subjects, 33 (33%) had vaginal delivery and 67 (67%) had cesarean delivery. Major indication for cesarean section (CS) was fetal distress in 40.25% and nonprogress of labor in 18% of cases among lower segment CS. The proportion of low birth weight babies to postdated mothers was 26% (95% confidence interval [CI] 17.7%–35.7%). Maternal complications were seen in 5 (5%) (95% CI 1.6%–11.3%) of the postdated mothers in the form of atonic postpartum hemorrhage (PPH). Fetal complications were found in 26% (95% CI 17.7%–35.7%) of the newborns. Conclusion: Postdated pregnancy was associated with increased risk of obstetric complications like PPH. There was increased risk of neonatal intensive care unit admissions with perinatal complications such as fetal distress, meconium aspiration syndrome, fetal asphyxia, neonatal jaundice, and macrosomia. Management of postdated pregnancy should be done carefully and systematically to avoid maternal and fetal complications.