Maternal and Fetal Outcomes in Low-Risk Prolonged Gestation: A Study of Pregnancies beyond 40 Weeks at Bugando Medical Centre Mwanza Tanzania (Record no. 18635)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03160nam a22002897a 4500 |
| 001 - CONTROL NUMBER | |
| control field | CREC/583/2022 05.07.2022 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240305193655.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 221212b |||||||| |||| 00| 0 eng d |
| 028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
| Source | Phone: +255 28 298 3384 |
| Source | Fax: +255 28 298 3386 |
| Source | Email: vc@bugando.ac.tz |
| Source | Website: www.bugando.ac.tz |
| 040 ## - CATALOGING SOURCE | |
| Language of cataloging | English |
| Transcribing agency | DDC |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| Language code of text/sound track or separate title | Kiswahili |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Isaack Ajee John |
| Dates associated with a name | MMED |
| 9 (RLIN) | 47200 |
| 245 ## - TITLE STATEMENT | |
| Title | Maternal and Fetal Outcomes in Low-Risk Prolonged Gestation: A Study of Pregnancies beyond 40 Weeks at Bugando Medical Centre Mwanza Tanzania |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania: |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS – Bugando] : |
| Date of publication, distribution, etc. | ©2023 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 77 Pages |
| Extent | Includes References and Appendicies |
| 520 ## - SUMMARY, ETC. | |
| Source | Abstract:<br/><br/>Prolonged pregnancies are those that extend beyond 40 weeks and 6 days of gestation. The rate of prolonged pregnancies is influenced by both population and regional management tactics. Studies have reported varying prevalence rates of prolonged pregnancies, ranging from 3% to 20%, with some estimating that they account for more than 7% of all pregnancies. Prolonged pregnancies, affecting up to 10% of pregnancies, pose risks to both the mother and the fetus. These risks include complications such as caesarean section and perineal tear for the mother, and outcomes like a big baby, intrauterine fetal death (IUFD), hypoglycemia, fetal death, and 5-minute Apgar scores of ≤ 6 for the baby, which are often underestimated. Emerging evidence suggests that the incidence of complications increases after 40 weeks of gestation, yet the optimal timing for delivery and mode of delivery remain subjects of debate among clinicians.<br/><br/>Methodology: A hospital-based cross-sectional study was conducted in the Labor and Postnatal wards of Bugando Medical Centre. A total of 1,208 inpatients who met the inclusion criteria were enrolled. Demographic and clinical information was collected using a structured questionnaire and recorded in Epi info software version 7.2.4.0. Data analysis was performed using the same software.<br/><br/>Results: Among the 1,208 enrolled participants, approximately 19.57% of low-risk pregnancies experienced prolonged gestation. Prolonged pregnancies were found to be associated with the delivery of big babies. The rate of cesarean section was notably higher among prolonged pregnancies, reaching 40.3% OR 1.2[1 – 1.6], and this difference was statistically significant.<br/><br/>Conclusion: This study contributes valuable insights into the challenges posed by prolonged pregnancies and highlights the need for comprehensive guidelines and clinical strategies to address these issues, ultimately improving the outcomes for both mothers and their infants. Further research and collaboration among healthcare professionals are essential to refine management approaches and reduce the risks associated with prolonged pregnancies.<br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Obstetrics & Gynaecology |
| 9 (RLIN) | 47091 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | POSTGRADUATE DISSERTATIONS |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Collection | Home library | Current library | Shelving location | Date acquired | Total checkouts | Barcode | Date last seen | Copy number | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 12/12/2022 | CREC/583/2022 | 12/12/2022 | CREC/583/2022 | 12/12/2022 | POSTGRADUATE DISSERTATIONS |