Abstract Pregnancy extending beyond the expected date of delivery (EDD) is associated with increased maternal and perinatal morbidity. Postdated pregnancies pose challenges due to placental senescence, reduced amniotic fluid, and increased fetal compromise. This study aimed to compare maternal and perinatal outcomes in women delivering on or before EDD with those delivering beyond EDD. Methods: This prospective observational comparative study was conducted over six months in the Department of Obstetrics and Gynaecology at Navodaya Medical College Hospital and Research Centre, Raichur. A total of 100 singleton term pregnancies were included and divided into two groups: Group A (≤ EDD, n=50) and Group B (> EDD, n=50). Maternal outcomes, mode of delivery, and perinatal outcomes were analyzed. Results: Induction of labor was significantly higher in Group B (60%) compared to Group A (30%). Cesarean section rates were higher among postdated pregnancies (40% vs. 20%). Meconium-stained amniotic fluid, low APGAR scores, NICU admissions, and neonatal morbidity were more frequent in Group B. One stillbirth was reported in the postdated group. Conclusion: Postdated pregnancies are associated with increased maternal and perinatal complications. Accurate gestational dating, vigilant fetal surveillance, and timely induction of labor are essential to improve outcomes.
International Journal of Medical Science and Innovative Research (IJMSIR) (Fri,) studied this question.