Minor Complications: Postmaturity

The term of pregnancy is set at 41 weeks, plus 6 days counting from the first day of the Last Menstrual Period (LMP). The strict mean duration of pregnancy is 282.5 days. If pregnancy continues after the expected date, the term postdatism or postmaturity is used. In postdatism there is an increase in distress and sudden 'in utero" death. Indeed, until term, the placenta usually provides the foetus with food and oxygen which it requires. As the pregnancy continues, the placenta becomes less efficient. The amount of food and oxygen supplied to the foetus becomes inadequate, and thus there is a risk of foetal distress.

Uterine contractions should alert you that there is a problem only if they are painful. During the last two months of pregnancy, if painful contractions occur together with vaginal bleeding, it is a sign which alerts your doctor that the placenta may be implanted in the lower uterine segment. Do not become alarmed, but instead consult your physician. In the vast majority of cases, the pregnancy can continue its normal course with rest, certain medications, including hormones, if necessary.

Modifications of foetal movements

Up until the fifth month, the foetus is free to move about inside the uterus and can kick against the mother's abdomen. Then there is increasingly less room and the fetus has just enough space to turn and move. He has alternating phases of sleep and activity. What is important is that you feel the foetal movements every day. If such movements becomes less frequent and weaker, you should immediately consult your doctor. Doppler ultrasound will reassure you by allowing you to hear the foetal heart tones