Pregnant past the due date should caesarean?

The article was professionally consulted by BSCK II Pham Thi Tuyet Mai - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.

During pregnancy, if the due date of the baby has come and there are still no symptoms or signs of labor, the pregnant woman needs to be closely monitored by the obstetrician for the best possible results. timely interventions, support for the birth of the baby.

A normal developing fetus, the gestation period will range from 37 to 41 weeks, during this time, the baby is born as a full-term newborn.
A pregnancy past due date is defined as a pregnancy lasting more than 42 weeks from the first day of the last cycle. However, in fact, if the due date has come, but the woman still has no signs of labor, she should not be too worried because it may be due to the incorrect calculation of the menstrual cycle. According to statistics, in 12% of women who are diagnosed with a pregnancy past their due date, only about 4% are correct, the rest are often due to errors in remembering the last menstrual cycle.

Obesity in pregnant women is a factor that increases the risk of having a baby born past the due date. birth delay First time pregnancy Baby boy

When it is confirmed as a pregnancy past due date without proper treatment, the following problems can occur:
If the placenta is still developing well, the baby will continue to grow and affect to normal childbirth. Difficult delivery is often due to shoulder jam, causing a lot of trauma to the mother and baby or having to have a cesarean section. In addition, the amount of amniotic fluid will gradually decrease when the pregnancy is over 42 weeks, increasing the risk of fetal distress due to compression of the umbilical cord.
If the placenta is degenerated, the fetus is not well nourished, it is easy to die in the womb or during childbirth, after birth, the baby's health will be weaker than usual.

Pregnancy past the due date, when there are no signs of labor, doctors or midwives will instruct the mother to monitor and count fetal movements. If the baby's movements are not visible, hospitalization is required for monitoring by obstetric monitoring. If there are symptoms of fetal distress, it is necessary to have a cesarean section immediately and coordinate with pediatricians to support the health of the newborn baby right after birth.
In case of normal fetal movement, monitoring by obstetric monitoring and performing preterm - stress test with response, no labor, doctors have favorable cervical examination, labor can be initiated by Prostaglandin or Oxytocin. At the onset of labor, close monitoring of fetal heart rate, uterine contractions, cervical dilation, and general health of the pregnant woman should be closely monitored. If there are no abnormalities, a natural vaginal delivery is possible. In case it is not convenient and unsafe, it is necessary to have a cesarean section immediately to ensure "the mother is round and the child is square".
In addition, it is necessary to have a cesarean section if the pregnancy is past the due date with other difficult causes such as: there is an old cesarean section, the fetus is breech, the mother is elderly or has been treated for infertility. .. Newborns of overdue pregnancies need to be taken care of carefully such as: warming, respiratory support when necessary and closely monitoring the child's development.

The simplest thing is for women to remember clearly the first day of their last menstrual cycle, which in obstetrics is called the last menstrual period. For women with irregular or too long menstrual cycles, it is necessary to carefully keep the antenatal check-up sheet and pregnancy ultrasound in the first trimester of pregnancy so that the doctor can accurately determine the gestational age.
Most importantly, women should have a full periodical antenatal check-up, record milestones in the baby's development such as the first day of seeing a mechanical pregnancy and if more than 1 week past the due date and still no labor, they must See your doctor right away for prompt treatment.
At Vinmec International General Hospital, there is a package maternity service as a solution to help pregnant women feel secure because of the companionship of the medical team throughout the pregnancy. When choosing Maternity Package, pregnant women can:
The pregnancy process is monitored by a team of qualified doctors Regular check-up, early detection of abnormalities Maternity package helps to facilitate the process. Childbirth program Newborns receive comprehensive care Dr. Tuyet Mai has over 30 years of experience in examination and treatment in the field of Obstetrics and Gynecology, especially in lower tract surgery, family planning, internal surgery. Professional endoscopy, handling many heavy and difficult surgeries such as:
Hysterectomy, hymenectomy Surgery for uterine fibroids, cervical cancer Cervical cancer vaccination Early detection of cervical cancer uterus Cervical electrocautery Endocrine examination and treatment

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