Postterm Pregnancy: Incidence & Prevalence Worldwide & US

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SUMMARY

Postterm pregnancy occurs in approximately 7% of pregnancies worldwide and 0.4% in the United States, according to various sources including Wikipedia and NCBI. The discrepancy in figures may arise from the common practice of induced labor in the US, which is estimated to occur in 23% to 30% of pregnancies. Induced labor is particularly prevalent for postterm pregnancies due to associated risks such as fetal malnutrition and placental aging after 42 weeks of gestation. The discussion highlights the need for clarity regarding these statistics and their implications for maternal and infant health.

PREREQUISITES
  • Understanding of obstetrics terminology, specifically "postterm pregnancy" and "induced labor."
  • Familiarity with pregnancy duration norms, particularly the significance of the 40-week gestation period.
  • Knowledge of maternal and infant health risks associated with prolonged pregnancies.
  • Awareness of statistical interpretation in medical literature.
NEXT STEPS
  • Research "induced labor statistics in the US" for a comprehensive understanding of its prevalence and implications.
  • Explore "risks of postterm pregnancy" to understand the health impacts on mothers and infants.
  • Investigate "global practices in managing postterm pregnancies" to compare approaches across different countries.
  • Study "maternal health guidelines" regarding the management of pregnancies beyond 42 weeks.
USEFUL FOR

Obstetricians, maternal health researchers, public health officials, and anyone interested in understanding the implications of postterm pregnancies and induced labor practices.

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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