Tuesday, 8 October 2019

what shuld be methodology of surveillance of pregancy who s overdue by seven days (Post dated )


Monitoring or surveillance includes  the followings in addition to DFMC, Clinical palpation. But gadgets are essential.like  A)  Doppler examination and assessment (as detailed below) of B) biophysical profile (the latter according to Manning's criteria   twice a week from 41.0 to 42.6 weeks. C) Reactive CTG:-When there is reactive cardiotocography, a biophysical profile above 6, and normal UA Doppler Velocimetry, pregnancies are managed expectantly. Otherwise, induction of labor is warranted. indices (UA PI and MCA PI, respectively) and the CPR between 41.0 and 42.6 weeks of gestation. These values are derived from a uniform technique and constructed with an adequate number of women with uncomplicated pregnancies with normal maternal and neonatal outcomes. The definition of these ranges is an essential prerequisite for future investigations on their validity in the prediction of perinatal complications in prolonged pregnancy


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