الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 155 |  |  |
| | | from | 155 | | |
Abstract
Risks to both mother and fetus increase as pregnancy progresses beyond 40 weeks of gestation (LEVEL OF EVIDENCII-3).So prolonged pregnancy is pregnancy extended beyond 40 weeks gestation up to 42 weeks. Accurate pregnancy dating is critical to the diagnosis. where possible, first trimester ultrasound rather than last normal menstrual period (LNMP) dating should be relied on to assess pregnancy duration. Expectant management with serial fetal surveillance with fetal kick counts, non stress testing, amniotic fluid index measurement, and biophysical profiles, whilst awaiting the onset of spontaneous labour, has been advocated as the alternative to routine induction of labour. The aim of the work: 1- Recognize the risks to both mother and fetus of continuing pregnancy beyond 40 weeks’ gestation. 2-Explore the preventability of the high incidence of perinatal mortality and morbidity associated with pregnancy beyond 40 weeks. 3- Know management options of pregnancy beyond 40 weeks and determining a management plan. Conclusion : Individual patient management should involve careful counseling regarding the risks and benefits of each of the components of care. Resources and maternal wishes need to be considered when managing a prolonged pregnancy.