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OB PGY1/PGY2
OB Complications

A. Post-Term pregnancy


1. Determine gestational age using a combination of menstrual history, physical examination, and ultrasound examination.
2. Recognize unusual causes of postterm pregnancy:

a. Lethal fetal anomaly (eg, anencephaly)
b. Placental sulfatase deficiency

3. Describe the potential fetal and neonatal complications of postterm pregnancy, such as:

a. Macrosomia
b. Meconium aspiration syndrome
c. Oligohydramnios
d. Hypoxia
e. Dysmaturity syndrome
f. Fetal demise

4. Perform and interpret surveillance tests for the postterm fetus:

a. Antepartum fetal heart rate testing to detect signs of hypoxia and cord compromise
b. Ultrasound examination to assess the biophysical profile score, identify oligohydramnios, and estimate fetal weight

5. Describe appropriate indications for delivery in the postterm pregnancy.
6. Determine the appropriate method of delivery in a postterm pregnancy.







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