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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