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Abstract
This study was carried out on 80 pregnant women, admitted to
Obstetric and Gynecology Department. All our patients had singleton
pregnancy. Their gestational age was between 37 to 43 weeks. The
gestational age was confirmed by calculating their dates from the first day
of their last menstrual period, patients were not included in the study if they
were unsure of their date, or with multifetal pregnancies or had medical
disorder or obstetric complication e.g. antepurtum haemorrhage.
We divided the cases into 2 groups:
(I) Term (Control) 37-40.
(B) Prolonged pregnancy group (Study) 41-43. The prolonged pregnancy
group were redivided into 2 groups A & B, (A) without adverse outcome,
(B) with adverse outcome.
The patients undergone a ceaseran section within 24 hours of the
tests. Amniotic fluid with meconium, Apgar score at 1 and 5 minutes and
admission to leU were recorded.
Cord blood was taken and erythropoietin level was estimated and
assumed to be a gold standard for presence of hypoxia and as an index of
fetal oxygenation in pregnancies delivered before and after their expected
date (37-43 weeks gestation).
Statistical analysis of the data collected was done.
The results of the present study showed:
(1) EPO level was significantly higher in the prolonged pregnancy group
than control groups: [43.6±2.22 mIu/ml vs. 28.6±3.5] mIu/ml