MATERNAL AND FETAL OUTCOME OF POSTDATE PREGNANCY IN WAD MADANI MATERNITY TEACHING HOSPITAL, GEZIRA STATE, SUDAN

Background: Post-term pregnancy by definition isa pregnancy that reaches 42 weeks of gestation or more. Post term pregnancy leads to an increased risk to the fetuses and neonates and increase their mortality and morbidity as well as an increased maternal morbidity

Objective: To study maternal and fetal outcome of postdate pregnancy in Wad Madani maternity teaching hospital, Wad Madani, Gezira State 2020

Materials and Methods: Observational, descriptive cross-sectional hospital-based study was conducted in Wad Madani maternity teaching hospital which located in Wad Madani city, Gezira state in central zone of Sudan within the period from March to September 2020 and covered postdate pregnant women. Data was gathered, processed and analyzed using SPSS.

Results: Study included 102 postdate pregnant women. Nearly half of them 49 (48%) were 30 – 39 years in age with mean age of 31.2 ± 8.4 years. Most of them 74 (72.5%) were from urban residential areas, 69 (67.7%) were educated until secondary school level or above, 65 (63.7%) housewives and 61 (59.8%) were from low socioeconomic status. Clinically, 48 (47.1%) were multipara. Only 61 (59.8%) of them had regular antenatal care follow up. Also, 14 (13.7%) were obese, nine (8.8%) had positive past history of postdate pregnancy and three (2.9%) had positive family history of postdate pregnancy. Concerning the maternal outcome, the study found that caesarian section was 31 (30.4%), while 11 (10.8%) instrumental delivery, and 60 (58.8%) were delivered with vaginal delivery. The most common maternal complications were obstructed labour six (5.9%), followed by perineal tear, postpartum haemorrhage three (2.9%) and sepsis five (4.9%). No maternal mortality was reported. Blood transfusion was needed for 18 (17.6%) of them. Regarding the fetal outcome, female gender was reported in 54 (52.9%) of neonates, only seven (6.9%) were less than 2.5 kg while seven (6.9%) were more than 4 kg. Most neonates 92 (90.2%) were alive, nine (8.8%) stillbirth, one macerated stillbirth and no congenital malformation was reported. Moreover, low Apgar score (< 6) was reported in 11 (10.8%), meconium aspiration syndrome was four (3.9%), IUGR seven (6.9%) and RDS weretwo (2%).11 (12%) were admitted to NICU and only one (9.1%) were dead.

Conclusion: Based on the study results, we concluded that postdate pregnancy is vulnerable for considerable undesired maternal and fetal outcomes which should not be ignored. Therefore, the relevant preventive and curative measured should be implemented as a priority for this risky group of pregnant ladies in Sudan.