Study of maternal and fetal outcome in postdate pregnancy in tertiary care hospital


  • Patel Yogeshkumar Pransukhbhai Department of Obstetrics and Gynecology, GMERS Medical College, Dharpur, Patan, Ahmedabad, Gujarat, India
  • Poonam Londhe Department of Obstetrics and Gynecology, GMERS Medical College, Dharpur, Patan, Ahmedabad, Gujarat, India



Induction of labour, Perinatal morbidity, Prolonged pregnancy, Ultrasound


Background: Fetal, neonatal and maternal complications associated with pregnancy beyond 40 weeks have always been underestimated. However emerging evidence demonstrates that the incidence of complications increases after 40 weeks of gestation. The present study was conducted to find out the fetomaternal outcome of such prolonged pregnancy.

Methods: This was a prospective cross-sectional study of 70 patients with uncomplicated prolonged pregnancy fulfilling the inclusion and exclusion criteria and admitted in department of obstetrics and gynecology at a tertiary care hospital B. J. Medical College, Ahmedabad, Gujarat, India.

Results: Out of 70 patients, majority of the subjects belongs to 26-30 years of age (50%). The gestational age of 90% of patients were between 40-42 weeks. About 42-44% of the foetus had a birth weight of 2.5-3.5 kgs. Maximum patients underwent vaginal deliveries in spontaneous group (57%) and 64% underwent LSCS in induced group. Mode of delivery is significantly associated with presence of adequate liquor.

Conclusions: With regular antenatal check-up, incidence of postdate pregnancy can be decreased and it is important because of definite risk to fetus as pregnancy continuing beyond 40 weeks of gestation is associated with increased perinatal morbidity and mortality especially those who do not come for regular antenatal check-up.

Author Biography

Patel Yogeshkumar Pransukhbhai, Department of Obstetrics and Gynecology, GMERS Medical College, Dharpur, Patan, Ahmedabad, Gujarat, India

Obstetrics and gynecology


Alexander JM, McIntire DD, Leveno KJ. Forty weeks and beyond: pregnancy outcome by week of gestation. AM J Obstet Gynecol. 2000;96(2):291-4.

Gupta M, Shrivastava S, Rai S. To study the maternal and fetal outcome in pregnancy beyond 40 weeks. International J Clin Obst Gynaecol. 2020;4(2):123-9.

Neilson JP. Ultrasound for fetal assessment in early pregnancy. Cochrane Database Syst Rev. 2000;(2:CD000182).

Galal M, Symonds I, Murray H, Petraglia F, Smith R. Postterm pregnancy. Facts Views Vis Obgyn. 2012;4(3):175-87.

Morris JM, Thompson K, Smithey J, Gaffney G, Cooke I, Chamberlain P, et al. The usefulness of ultrasound assessment of amniotic fluid in predicting adverse outcome in prolonged pregnancy: A prospective blinded observational study. BJOG. 2003;110:989-94.

Frank Gaillard. Naegele's formula. Available at:'s%20formula%20is%20simple,subtract%203%20months%20(i.e%20March). Accessed on 20th February 2017.

Curran M. Bishop score calculator. Available at: Accessed on 20th February 2017.

Kandalgaonkar VP, Kose V. Fetomaternal outcome in postdated pregnancy. Int J Reprod Contracept Obstet Gynecol. 2019;8:1899-906.

Chhabra S, Dargan R, Nasare M. Postdate pregnancies: Management options. AM J Obstet Gynecol. 2007;57(4):307-10.

Caughey AB, Nicholson JM, Cheng YW, Lyell DJ, Washington AE. Induction of labor and cesarean delivery by gestational age. Am J Obstet Gynecol. 2006;195(3):700-5.






Original Research Articles