Pregnancy / Childbirth

Transferred pregnancy. Diagnosis and conduct

It is assumed that a normal pregnancy should last from 38 to 42 weeks and end with the birth of a fully mature newborn baby. What happens when these time frames are exceeded? Doctors are beginning to use terms such as postponed and expired pregnancy. What should the proceedings look like in both states? - about this later in the article.

Transferred pregnancy and expired pregnancy

Transmitted pregnancy and out-of-date pregnancy are two similar, but not identical, conditions. Therefore, at the beginning they should be precisely defined and distinguished.

Pregnancy is a condition in which a child developing in the womb is already fully mature and ready for ectopic life. However, the labor campaign, despite the passage of time, does not begin. This definition means that such a situation may take place both after the date of delivery as set by the gynecologist and before it. In the latter case, we are simultaneously talking about a transmitted pregnancy and expired pregnancy. It is noteworthy that carried forward pregnancy before the termination date is usually the result of an incorrectly calculated date of delivery. This happens especially often in the case of irregular menstrual cycles.

Expired pregnancy, however, occurs when labor does not occur despite the completion of 41 weeks. This is associated with a significantly increased risk of complications. Usually as a result of reduced placental efficiency and deterioration of fetal conditions. Thus, an out-of-date pregnancy creates the risk of fetal hypoxia, developmental defects, shoulder dystocia and mottle aspiration syndrome, among others. In addition to the possibility of these abnormalities, the pregnant woman is also at increased risk of, for example, postpartum hemorrhage. In addition, an out-of-date pregnancy is usually associated with the need for a Caesarean section or instrumental delivery.

Today, however, we want to focus primarily on the topic of transferred pregnancy, more about which later in the article.

Transferred pregnancy - is it dangerous?

As it is already known, delivery pregnancy does not start in transferred pregnancy, despite the complete maturity and readiness of the fetus to live independently outside the mother's body. Such a situation, as you can easily guess, is not without unpleasant consequences for the child. One of them is primarily the so-called transferred child syndrome. It is characterized by the occurrence in the newborn dry, wrinkled and flaky skin as well as long nails and very poorly developed subcutaneous tissue. Moreover, as in the case of expired pregnancy, this condition can sometimes lead to fetal hypoxia. And this is a direct threat to his life.

Transferred pregnancy - management

In the case of transferred pregnancy and late pregnancy, two types of procedure are possible. They depend on the general condition of the future mother and her unborn child. The first of these is to prevent further extension of pregnancy and is to induce labor. The second one assumes the adoption of an expectant attitude, combined with close monitoring of fetal well-being indicators and the general condition of the pregnant woman. Active management only applies when justified by specific medical indications (e.g. fetal hypoxia).

Practice was adopted in the vast majority of Polish hospitals hospitalization of pregnant women who have finished 40 weeks of pregnancy or are suspected of being transferred. During the stay in the ward, absolute obstetric supervision is carried out. It includes tests such as ultrasound, CTG and registration of fetal movements. Based on the results of the above-mentioned tests, the general condition of the pregnant woman and the result of the assessment of cervical preparation for delivery, a decision is made as to what to do next. The good of the mother and child is of the greatest importance in its making. A team of consulting specialists tries at all costs to apply a solution that will be most beneficial for both.

We hope that our article has helped you to better understand what is the difference between carry-over pregnancy and expired pregnancy and what is the procedure in both these conditions.

Bibliography:Practical obstetrics and obstetrics - Joachim W. DudenhausenObstetrics and gynecology - Grzegorz H. Bręborowicz