Definition

A typical pregnancy lasts 38-42 weeks. A post-term pregnancy lasts beyond 42 weeks. The risk for certain health problems is higher in post-term pregnancies than in full-term pregnancies. This condition requires additional care and monitoring from your doctor.

Causes

The exact cause of a prolonged pregnancy is unknown. About 5%-10% of pregnancies become post-term.

Risk Factors

Previous post-term pregnancy is the most common risk factor.

Symptoms

If you are still pregnant after your due date, see your doctor.

Diagnosis

Your doctor will review your history to make sure that your due date is correct. Your doctor may recommend:

  • Ultrasound —To measure amniotic fluid and see how much your baby is moving
  • Fetal monitoring—To check the baby's heartbeat

To see if your body is preparing for labor, your doctor may also check your cervix to see if it is opening and thinning.

Treatment

Talk with your doctor about the best treatment plan for you. Treatment options include the following:

Some women and their doctors choose to wait for labor to begin on its own. During this wait and see period, the doctor will closely monitor the baby’s heart rate, amniotic fluid levels, breathing, and movement. If there are any signs of problems or your pregnancy continues beyond 42 weeks, your doctor may recommend labor induction.

If labor has not started naturally, there are a number of ways your doctor can try to induce labor.

  • Medications can help the soften and open the cervix.
  • A small tear is made in your amniotic sac to break your water. This is painless and can triggers contractions.
  • Your doctor may do a membrane sweep. Your doctor uses a finger to sweep around the neck of your cervix to separate it from the membranes around your baby. This action releases hormones called prostaglandins, which may induce labor.
  • Your doctor may give you a medication called oxytocin. Oxytocin starts contractions and helps them to remain strong and regular.

In general, women with a post-term pregnancy who have an induced labor are less likely to need a cesarean delivery than women who wait for labor to begin naturally.


Full Term Fetus with Intact Membranes

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Prevention

There is little that can be done in advance to reduce your chances of having a post-term pregnancy. If your pregnancy lasts beyond 42 weeks, talk to your doctor before trying any home remedies for starting labor. Most home remedies are unproven and some may be harmful to you or your baby.