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Prepared by:
2. Oligohydramnios
3. Fetal distress
6. Fetal anencephaly
Risks to the Fetus
Uteroplacental Macrosomia
insufficiency 1. Prolonged labor CPD,Less
1. Fetal hypoxia moulding
2. Meconium aspiration(8 x ) 2. Obstructed labor CPD,Less
1. Chemical pneumonia moulding
2. Atelectasis
3. Shoulder dystocia
3. Pulmonary
hypertension 4. Birth injury
U/S diagnosis :
1) Labor dystocia
4) Maternal anxiety
Gestational age calculation
1. Irregular menses .
2. Recent cessation of birth control pills.
3. Inconsistent ovulation times.
Ultrasound biometry margins of error
Error:
Crown-rump length (CRL) till 12 weeks 3-5 days
Biparietal diameter (BPD) at 12-20 weeks 1 week
BPD at 20-30 weeks 2 weeks
BPD after 30 weeks3 weeks
Value of USG:
1. If >1 week discrepancy between LMP & USG Use
USG data to determine the EDD
2. USG for gestational age determination prior to 20
weeksAccepted
Transcerebellar diameter
1) Gestational age,
2. Twice-weekly SURVEILLANCE
Expectant treatment
Management at 40 - 41 weeks gestation
fetal compromise :
induction of labour
Management at 41 weeks gestation
A. Healthy, uncomplicated pregnancy
resuscitation at delivery.
Indication of CS:
Post term + Complicating factors
1. CPD
2. Prev.CS
3. Malpresentation
4. Severe oligohydramnios / Anhydramnios
5. PET
6. APH
7. DM
8. Rh-ve
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