Patterns of labour and fetal outcomes of post-term pregnancy among women give births in Mukalla maternity hospital, Hadhramout(Yemen)

Abstract

Objectives: To describe the patterns and fetal
outcomes of post term pregnancyamong women
give their births in Al-Mukalla maternity hospital
during the year 2013. 
Subjects and Methods: It is a retrospective descriptive case series study in the period of first of
January 2013- 31 December 2013 in Al-Mukalla
maternity Hospital, Mukalla city, Yemen. Medical files of 147 casesof post-term pregnancy were
studied. Seven cases were excluded due to lack of
data in their files. The independent variables are
age and parity, the outcomevariables are labour
patterns (onset and mode of labour) and fetal outcomes (alive, intrauterine fetal death, stillbirth and
neonatal death).
Results: A total of 147 post-term pregnant women
(1.7%) out of 8630 pregnant women gave births in
Mukalla Maternity hospital during the study period. Seven cases were excluded from the analysis due to lack of completed data; so data of 140
cases were analyzed and presented in this paper.
The mean age of the studied women are 26.9 (±5.0
years).
Atotal of 114 out of 140 women underwent
spontaneous labour (81.42%) and induction of labour was done in 20 women (14.28%) while in 6
women (4.30%) an elective C/S is done. Regarding mode of delivery a total of80 women (57.1%)
underwent normal vaginal delivery (NVD) and 60
women (42.9%) underwent cesarean section (C/S.
Fetal outcomes are represented in a 124 alive babies (88.57%) , nine neonatal deaths (6.42%) , six
stillbirths (SB) (4.29%) and only one intrauterine
fetal death (IUFD) (<1%).
Conclusions: Spontaneous labour achieved in
the majority of post term pregnancy , post term
pregnancy associated with higher rate of failure of
induction as well as increase rate of C/S. The neonatal death is the major cause of death of babies of
women with post-term pregnancy.