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(Postdate Pregnancy; Postdates; and Prolonged Pregnancy)
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.
The exact cause of a prolonged pregnancy is unknown. About 5%-10% of pregnancies become post-term.
Previous post-term pregnancy is the most common risk factor. Other factors may include first pregnancy, obesity, and older maternal age.
Your medical history will be reviewed to make sure that your due date is correct. Your doctor may advise:
- Ultrasound —To measure amniotic fluid and see how much your baby is moving
- Fetal monitoring—To check the baby's heartbeat
Your doctor may also check your cervix to see if it is opening and thinning in preparation for labor.
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 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 soften and open the cervix.
- A small tear is made in your amniotic sac to break your water. This is painless and can trigger 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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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.
The American Congress of Obstetricians and Gynecologists
Family Doctor—American Academy of Family Physicians
Canadian Women's Health Network
Society of Obstetricians and Gynaecologists of Canada
Briscoe D, Nguyen H, et al. Management of pregnancy beyond 40 weeks’ gestation. Am Fam Physician. 2005;71:1935-1941.
Labor induction. Family Doctor—American Academy of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/pregnancy-newborns/labor-childbirth/labor-induction.html. Updated February 2016. Accessed February 25, 2016.
Labor induction and cervical ripening. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated July 15, 2015. Accessed February 25, 2016.
Management of post-term pregnancy. The American Congress of Obstetricians and Gynecologists. Practice Bulletin No. 55, September 2004. (Reaffirmed 2011.)
Postterm pregnancy. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated November 23, 2015. Accessed February 25, 2016.
Pregnancy: what to expect when your due date has passed. American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/familydoctor/en/pregnancy-newborns/labor-childbirth/pregnancy-what-to-expect-when-youre-past-your-due-date.html. Updated August 2010. Accessed February 25, 2016.
Sanchez-Ramos L, Olivier F, et al. Labor induction versus expectant management for post-term pregnancies: a systematic review with meta-analysis. Obstet Gynecol. 2003;101(6):1312-1318.
- Reviewer: Andrea Chisholm, MD
- Review Date: 02/2016
- Update Date: 03/15/2015