Outcome of late term pregnancy in Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan

Objective: Late term pregnancy is associated with an increased risk of morbidity towards parturient and fetus. This study aims to address the number of cases and outcome of maternal and perinatal morbidity in late term pregnancy. Methodology: This was a retrospective study, a review of intended...

Full description

Saved in:

Bibliographic Details
Main Author:	Azman, Siti Fatimah Abd.
Format:	Thesis
Language:	English
Published:	2020
Subjects:	RG Gynecology and obstetrics
Online Access:	http://eprints.usm.my/54195/1/Siti%20Fatimah%20Abd%20Azman-24%20pages.pdf
Tags:	Add Tag No Tags, Be the first to tag this record!

id	my-usm-ep.54195
record_format	uketd_dc
spelling	my-usm-ep.541952022-08-21T03:59:54Z Outcome of late term pregnancy in Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan 2020 Azman, Siti Fatimah Abd. RG Gynecology and obstetrics Objective: Late term pregnancy is associated with an increased risk of morbidity towards parturient and fetus. This study aims to address the number of cases and outcome of maternal and perinatal morbidity in late term pregnancy. Methodology: This was a retrospective study, a review of intended studied pregnancy at 41 weeks involving 324 patients who delivered at late term in the past five years at HUSM. Data involving socio-demographic of the patients, method of induction, mode of delivery, the outcome of delivery as well as maternal and fetal complications were recorded and analysed. Results: The number of cases of late term pregnancy was 8.73%. Out of 324 patients, 144 of them (44.4%) were induced into labour. There were 269 patients (83%) delivered via spontaneous vertex delivery, 12 patients (3.7%) via operative vaginal delivery and 43 patients (13.3%) via lower segment Caeserean section. The incidence of postpartum hemorrhage and perineal trauma were 4.9% and 0.6% respectively. In terms of fetal outcomes, 6.5% was admitted to neonatal intensive care unit following delivery, and 2.5% had their Apgar score of less than 7 at 5 minutes. There was a significant association between mode of delivery and fetal outcome (neonatal intensive care unit admission and poor Apgar score at 5 minutes) with higher incidences found in patients delivered via operative vaginal delivery. Mothers who delivered via operative vaginal delivery were more likely to have baby admitted to NICU and Apgar score less than 7 with the odd ratio 9.11(95% Cl:2.44,33.93) and 17.6(95% CI:3.63,85.28) respectively. Conclusion: Our study found that the number of cases of maternal and perinatal morbidity in late term pregnancy was lower compared to previously reported figures from other studies. 2020 Thesis http://eprints.usm.my/54195/ http://eprints.usm.my/54195/1/Siti%20Fatimah%20Abd%20Azman-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RG Gynecology and obstetrics
spellingShingle	RG Gynecology and obstetrics Azman, Siti Fatimah Abd. Outcome of late term pregnancy in Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan
description	Objective: Late term pregnancy is associated with an increased risk of morbidity towards parturient and fetus. This study aims to address the number of cases and outcome of maternal and perinatal morbidity in late term pregnancy. Methodology: This was a retrospective study, a review of intended studied pregnancy at 41 weeks involving 324 patients who delivered at late term in the past five years at HUSM. Data involving socio-demographic of the patients, method of induction, mode of delivery, the outcome of delivery as well as maternal and fetal complications were recorded and analysed. Results: The number of cases of late term pregnancy was 8.73%. Out of 324 patients, 144 of them (44.4%) were induced into labour. There were 269 patients (83%) delivered via spontaneous vertex delivery, 12 patients (3.7%) via operative vaginal delivery and 43 patients (13.3%) via lower segment Caeserean section. The incidence of postpartum hemorrhage and perineal trauma were 4.9% and 0.6% respectively. In terms of fetal outcomes, 6.5% was admitted to neonatal intensive care unit following delivery, and 2.5% had their Apgar score of less than 7 at 5 minutes. There was a significant association between mode of delivery and fetal outcome (neonatal intensive care unit admission and poor Apgar score at 5 minutes) with higher incidences found in patients delivered via operative vaginal delivery. Mothers who delivered via operative vaginal delivery were more likely to have baby admitted to NICU and Apgar score less than 7 with the odd ratio 9.11(95% Cl:2.44,33.93) and 17.6(95% CI:3.63,85.28) respectively. Conclusion: Our study found that the number of cases of maternal and perinatal morbidity in late term pregnancy was lower compared to previously reported figures from other studies.
format	Thesis
qualification_level	Master's degree
author	Azman, Siti Fatimah Abd.
author_facet	Azman, Siti Fatimah Abd.
author_sort	Azman, Siti Fatimah Abd.
title	Outcome of late term pregnancy in Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan
title_short	Outcome of late term pregnancy in Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan
title_full	Outcome of late term pregnancy in Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan
title_fullStr	Outcome of late term pregnancy in Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan
title_full_unstemmed	Outcome of late term pregnancy in Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan
title_sort	outcome of late term pregnancy in hospital universiti sains malaysia, kubang kerian, kelantan
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2020
url	http://eprints.usm.my/54195/1/Siti%20Fatimah%20Abd%20Azman-24%20pages.pdf
_version_	1747822277960925184

Outcome of late term pregnancy in Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan

Similar Items