Prolonged pregnancy

• Autores: Ludmir, A., Barreda, A., Serván, O., Morena, D.
• Formato: artículo
• Fecha de Publicación: 2015
• Institución: Sociedad Peruana de Obstetricia y Ginecología
• Repositorio: Revista SPOG - Revista Peruana de Ginecología y Obstetricia
• Lenguaje: español
• OAI Identifier: oai:ojs.spog:article/1239
• Enlace del recurso: http://www.spog.org.pe/web/revista/index.php/RPGO/article/view/1239
• Nivel de acceso: acceso abierto

200 cases of prolonged pregnancy occurred between 1986-87 in the San Bartolome Hospital, compared with 200 normal cases taken at random is evaluated. The incidence of the problem was 2.76%. 70% of cases was controlled from the first half of pregnancy. The vast majority felt the first stirrings around week 20 and first auscultation fetoscope was made in 50% of cases, between weeks 18 and 21. In 80% of cases oligoamnios was observed and 50% sonographically senescence placental. In 60 cases nonreactive nonstress test, the stressful test was positive in 30% of patients; of which 50% with Bishop favorable were induced. Intercurrent problems of pre-eclamptic type was observed in 11.5% of cases. 73% completed his birth spontaneously, 15% was induced and 12% underwent cesarean section. Perinatal mortality was 30% compared to 25% occurred in the normal pregnancy group. Most deaths (60%) occurred in pre-eclamptic cases breakthrough. It points out that the evidence and auxiliary methods used in the hospital are satisfactory for the diagnosis of post-term pregnancy and to end the status of the newborn future.