Post Dates Pregnancy

The risks and benefits of induction of labor post-dates.

Post-term pregnancy (41 weeks plus) carries several potential risks, both for the pregnant individual and the baby. 

Potential risks include:

1. Fetal macrosomia: This refers to a newborn who's significantly larger than average. Babies born after 41 weeks may be larger, which can lead to issues during delivery, such as injury to the baby or the need for a C-section.

2. Low amniotic fluid (oligohydramnios): The amount of amniotic fluid decreases after 41 weeks, which may increase the risk of labor complications, such as cord compression.

3. Decreased placental function: Over time, the placenta may begin to age and not work as well, potentially leading to insufficient nutrition or oxygen for the baby.

4. Meconium aspiration: This can happen when the baby passes stool (meconium) and then breathes it into their lungs before or during birth, which can cause breathing problems or a severe lung infection after birth.

5. Stillbirth: The risk of stillbirth increases after 41 weeks.

6. Infection: The risk of infection increases the longer the water is broken after 41 weeks.

7. Difficult labor or birth: Because the baby is larger, labor may be more difficult. There may also be a higher likelihood of requiring labor induction or C-section.

8. Neonatal morbidity: Post-term babies are more likely to be admitted to the neonatal intensive care unit (NICU).

   
   

For the birthing parent, risks may include:

1. Labor complications: A larger baby may increase the likelihood of labor complications, such as prolonged labor, and the need for a C-section or instrumental delivery (with forceps or vacuum).

2. Infection: The risk of infection, particularly endometritis (inflammation of the inner lining of the uterus), may be higher.

3. Perineal injury during childbirth: If the baby is large (macrosomia), there's a higher risk of perineal tearing during vaginal delivery.

4. Postpartum hemorrhage: The risk of heavy bleeding after birth may be increased.

   
   
   
   

Author

Richard Lorenzo, DO

Dr. Lorenzo is a Fellow of the American Congress of Obstetricians and Gynecologists (ACOG) and the American College of Osteopathic Obstetricians and Gynecologists (ACOOG), reflecting his expertise in women’s health. He provides comprehensive gynecological and obstetric services, including prenatal care up to 20 weeks, infertility evaluations, and general gynecology. Dr. Lorenzo specializes in advanced surgical techniques, offering minimally invasive procedures for abnormal uterine bleeding, endometriosis, and hysterectomy, ensuring quicker recovery and minimal discomfort for his patients. He is highly trained in high-risk obstetrics and adept at performing minimally invasive hysterectomies, providing women with effective solutions tailored to their needs. At Complete Healthcare for Women in Richland, WA, Dr. Lorenzo prioritizes personalized, compassionate care, empowering women to make informed health decisions.