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Postterm pregnancy

INTRODUCTION

The timely onset of labor and delivery is an important determinant of perinatal outcome. Both preterm and postterm births are associated with higher rates of perinatal morbidity and mortality than pregnancies delivering at term.

DEFINITION

Postterm pregnancy refers to a pregnancy that is ≥420/7ths weeks of gestation or ≥294 days from the first day of the last menstrual period [1]. Accurate pregnancy dating is critical to the diagnosis.

By comparison, preterm is < 370/7 weeks, early term is 370/7 weeks through 386/7 weeks,

full term is 390/7 weeks through 406/7 weeks, and late term is 410/7 weeks through 416/7 weeks [2,3].

PREVALENCE

In the United States, approximately 28 percent of pregnancies deliver in the 40th and 41st week and 5.6 percent deliver at ≥42 weeks [4]. A study of postterm birth rates in 13 European countries observed a wide range across the continent: from 0.4 percent in Austria and Belgium to 8.1 percent in Denmark [5]. The authors attributed the variation to differences in prenatal assessment of gestational age and obstetric practices.

         

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Literature review current through: Jun 2014. | This topic last updated: Oct 23, 2013.
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