Other complications of labour

Dystocia, shoulder dystocia and obstetric trauma are all increased in post-term pregnancy [25]. Here, the risks increase with increasing fetal weight, but gestational age remains a risk factor independent of birthweight. In a case-matched study of 285 women with uncomplicated singleton post-term pregnancy and spontaneous onset of labour and 855 women with uncomplicated singleton term pregnancy, Luckas et al. [33] showed that Caesarean section was significantly more common in women with post-term pregnancy (relative risk = 1.90, 95% CI = 1.29-2.85). The increase was equally distributed between Caesarean sections performed for failure to progress in labour (RR = 0.74, 95% CI = 1.02-3.04) and fetal distress (RR = 2.00,95% CI = 1.14-3.61). This finding is consistent with the hypothesis that some cases of prolonged pregnancy are associated with a defect in the physiology of labour, in addition to any increase in risk of fetal hypoxia. However, the possibility of bias in management arising out of the knowledge that a pregnancy is post-term cannot be excluded as a factor in the increase in Caesarean section rates.

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Getting Back Into Shape After The Pregnancy

Getting Back Into Shape After The Pregnancy

Once your pregnancy is over and done with, your baby is happily in your arms, and youre headed back home from the hospital, youll begin to realize that things have only just begun. Over the next few days, weeks, and months, youre going to increasingly notice that your entire life has changed in more ways than you could ever imagine.

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