Postterm Pregnancy: Incidence & Prevalence Worldwide & US

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Discussion Overview

The discussion revolves around the incidence and prevalence of postterm pregnancy, specifically comparing global statistics to those in the United States. Participants explore the definitions, implications, and statistics related to postterm pregnancies and induced labor.

Discussion Character

  • Exploratory
  • Debate/contested
  • Technical explanation

Main Points Raised

  • One participant cites a Wikipedia article stating that the global incidence of postterm pregnancy is approximately 7%, while in the US it is reported as 0.4%, raising questions about the accuracy and reasons for these discrepancies.
  • Another participant inquires about the commonality of induced births in the US, suggesting that scheduling induced births could lead to a lower percentage of postterm pregnancies compared to global averages.
  • A participant mentions that induced labor in the US is common, referencing statistics that estimate it to be between 23% to 30% of all pregnancies, which may contribute to the differences in postterm pregnancy rates.
  • Concerns are raised about the risks associated with postterm pregnancies, including potential fetal malnutrition and placental aging after 42 weeks of gestation.

Areas of Agreement / Disagreement

Participants express uncertainty regarding the accuracy of the statistics on postterm pregnancies and the impact of induced labor. There is no consensus on the reasons for the discrepancies in reported figures.

Contextual Notes

The discussion highlights limitations in the clarity of statistics regarding postterm pregnancy and induced labor, as well as the potential variability in definitions and reporting methods across different sources.

nomadreid
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TL;DR
perhaps I am parsing Wikipedia's phrasing incorrectly; if not, is there really such a difference? (7% and 0.4%) I could not find the 0.4% figure elsewhere (and I do not have access to the article cited after the 0.4%), although I found the 7% figure elsewhere.
"In the Wikipedia article https://en.wikipedia.org/wiki/Postterm_pregnancy#Epidemiology I read:
Prevalence of postterm pregnancy ... The incidence is approximately 7%. Postterm pregnancy occurs in 0.4% of pregnancies approximately in the United States according to birth certificate data."
This seems to say that postterm preganancies are 7% of pregnancies worldwide (a figure I also found in https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3991404/), and then that it is 0.4% in the US (although the link just mentioned gives higher figures). Is this what it is saying and if so, is it correct, and if so, why the discrepancy?
 
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How common is induced birth in the US? In some countries it is quite common to schedule induced births within 2 weeks of being overdue. In those countries you’d expect the percentage of post term births to be much lower than the global average.
 
Ryan_m_b said:
How common is induced birth in the US? In some countries it is quite common to schedule induced births within 2 weeks of being overdue.

That is probably the key point. From my limited experience, it is pretty common. From the wikipedia article that was posted in the OP:
Wikipedia said:
Postterm pregnancy
Other namesPost-term, postmaturity, prolonged pregnancy, post-dates pregnancy, postmature birth
SpecialtyObstetrics
Postterm pregnancy is the condition of a woman who has not yet delivered her baby after 42 weeks of gestation, two weeks beyond the median duration of a human pregnancy of about 40 weeks (mean duration of pregnancy varies by parity).[1] Post-mature births can carry risks for both the mother and the infant, including fetal malnutrition. After the 42nd week of gestation, the placenta, which supplies the baby with nutrients and oxygen from the mother, starts aging and will eventually fail.
 
Last edited:
Ryan_m_b, that is a good point. It appears that the statistics for induced labor in the US are a bit fuzzy: in http://www.nationalpartnership.org/...ternity/quick-facts-about-labor-induction.pdf the estimates go from 23% to 30% of all pregnancies in the US.
berkeman: so, yes, induced labor in the US is quite common, especially for postterm pregnancy due to the dangers you listed.
However, whereas this could account for some discrepancy, I am not sure that this could account for the discrepancy between the figures of 7% or 4% down to 0.4%.
 

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