Midwifery Care for Pregnant Women with Late-Term Pregnancy and Oligohydramnios

Authors

  • Finta isti kundarti Midwifery Study Program, Polytechnic of Health of The Ministry of Health, Malang
  • Shintya Okta Rihandhini Midwifery Study Program, Polytechnic of Health of The Ministry of Health, Malang
  • Dwi estuning rahayu Midwifery Study Program, Polytechnic of Health of The Ministry of Health, Malang
  • ira titisari Midwifery Study Program, Polytechnic of Health of The Ministry of Health, Malang
  • Rahajeng sisti nur rahmawati Midwifery Study Program, Polytechnic of Health of The Ministry of Health, Malang

DOI:

https://doi.org/10.53713/htechj.v3i5.373

Keywords:

Late term, oligohydramnios, labor induction, postterm

Abstract

Late-term pregnancy is defined as a pregnancy that has reached 41 weeks and 6 days or more, which includes the risk of oligohydramnios. Proper management of late-term pregnancy is essential through labor induction to reduce the risks of morbidity and mortality. This study aims to analyze Midwifery care for pregnant women with late-term pregnancy and oligohydramnios. This study utilized a case study methodology with a thorough midwifery care approach for one patient. Data collection involved interviews, observations, physical assessments, and documentation reviews. The data were analyzed following the midwifery process steps: assessment, diagnosis, intervention, implementation, and evaluation. The case study was conducted with Mrs. R, who showed no signs of labor. A diagnosis was made of G3P2OO3 at a gestational age of 41-42 weeks, characterized by late-term pregnancy and intrauterine live fetal oligohydramnios. The intervention involved referring the patient to the hospital for labor induction. The evaluation revealed that the cesarean section was successful, and both the mother and baby were healthy after the delivery. This case highlights the significance of early detection and sound decision-making in managing overdue pregnancies to mitigate the risks of complications for both mother and newborn.

References

Al-Genedy, R. A., & Qushash, E. M. (2024). Postterm Pregnancy: Maternal and Fetal Outcomes. Electronic Journal of University of Aden for Basic and Applied Sciences, 4(4), 384–392. https://doi.org/10.47372/ejua-ba.2023.4.307

Alkmark, M., Carlsson, Y., Wendel, S. B., Elden, H., Fadl, H., Jonsson, M., Ladfors, L., Saltvedt, S., Sengpiel, V., Wessberg, A., Wikström, A. K., Hagberg, H., & Wennerholm, U. B. (2021). Efficacy and safety of oral misoprostol vs transvaginal balloon catheter for labor induction: An observational study within the SWEdish Postterm Induction Study (SWEPIS). Acta Obstetricia et Gynecologica Scandinavica, 100(8), 1463–1477. https://doi.org/10.1111/aogs.14155

Anjar Kusuma Dewi, Ririn Wahyu Hidayati, S. S. . M. K., & Nurul Kurniati, S. S. . M. K. (2020). Associations of Postterm Pregnancy and Early Rupture of Membranes with the Incidence of Asphyxia in Newborns at Panembahan Senopati Bantul Hospital. http://digilib.unisayogya.ac.id/

Blecher, Y., Michaan, N., Baransi, S., Baruch, Y., & Yogev, Y. (2022). Against medical advice for induction of labor due to post-term pregnancies–the impact on pregnancy outcome. Journal of Maternal-Fetal and Neonatal Medicine, 35(20), 3979–3983. https://doi.org/10.1080/14767058.2020.1845645

Citra, T., & Sofiyanti, S. (2023). Case Report: Sexual Intercourse to Stimulate the Labor Process. Siliwangi Health Journal, 4(1), 496–502. https://doi.org/10.34011/jks.v4i1.1572

Defrin, D., Yerizel, E., Suhaimi, D., & Afriwardi, A. (2019). The Reactivity Levels of Progesterone, Nitric Oxide and Nuclear Factor Kappa-B on the Serum of Term and Post-Term Pregnancy, Clinical Study in Padang, West Sumatera, Indonesia. Open access Macedonian journal of medical sciences, 7(11), 1729–1732. https://doi.org/10.3889/oamjms.2019.351

Eka Nur Fatmawati, Ratna Mildawati, Yuneka Saristiana, Fendy Prasetyawan, & Faisal Akhmal Muslikh. (2024). Evaluation of the Effectiveness of Uterotonika Misoprostol Use in Induction of Labor in Postterm Pregnancy. Journal of Informatics and Health, 1(1), 19–33. https://doi.org/10.35473/ikn.v1i1.3023

Iskandar, I., & Kamila, A. (2023). Oligohidramnion. GALENICAL : Malikussaleh Student Journal of Medicine and Health, 2(3), 67. https://doi.org/10.29103/jkkmm.v2i3.8715

Jenabi, E., Farashi, S., Salehi, A. M., & Parsapoor, H. (2023). The association between post-term births and autism spectrum disorders: an updated systematic review and meta-analysis. European Journal of Medical Research, 28(1), 1–10. https://doi.org/10.1186/s40001-023-01304-2

Khoirunnisyah. (2021). Midwifery Care for Pregnant Women with Missing Months (Post Date) at PMB Hermayanti Rambe in Padangsidimpuan City year 2021

Middleton, P., Shepherd, E., Morris, J, Crowther, C. A., & Gomersall, J. C. (2020). Induction of labour at or beyond 37 weeks' gestation. The Cochrane Database of Systematic Reviews, 7. doi:10.1002/14651858.CD004945.pub5. Cd004945. https://doi.org//10.1002/14651858.CD004945. pub5

Mitao, M., Mwita, W. C., Antony, C., Adinan, H., Shayo, B., Amour, C., Mboya, I. B., & Mahande, M. J. (2023). Recurrence of post-term pregnancy and associated factors among women who delivered at Kilimanjaro Christian Medical Centre in northern Tanzania: A retrospective cohort study. PLoS ONE, 18(4 April), 1–12. https://doi.org/10.1371/journal.pone.0282078

Munaaya Fitriyya, & Dhina Nur Irfani. (2021). The Effect of Interactive Animation Education on Danger Signs of Amniotic Fluid Abnormalities in Pregnancy on Increasing Knowledge of Pregnant Women at Annissa Primary Clinic Surakarta. Medika Husada Journal, 1(1), 19–35. https://doi.org/10.59744/jumeha.v1i1.32

Muriithi FG, Odubamowo KH, et al. (2021).The Continuous Textbook of Women’s Medicine Series – Obstetrics Condition. Glob Libr Women's Med ISSN: 1756-2228; DOI 10.3843/GLOWM.413363. https://www.glowm.com/article/heading/vol-10--common-obstetric-conditions--postterm-pregnancy-and-intrauterine-fetal-death/id/413363#

Noftalina, E., Riana, E., Nurvembrianti, I., & Aprina, T. (2021). Obstetric care in labor and newborn.

Riyanti, E., Widiastuti, S., & Mutoharoh, S. (2022). Risk Factors of Postterm Pregnancy At Pku Muhammadiyah Gombong Hospital. Prosiding 16th Urecol: Science and Health Series, 448–457.

Singh, N., Misra, D., & Srivastava, S. (2020). Postdated pregnancy: its maternal and fetal outcome. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 9(8), 3223. https://doi.org/10.18203/2320-1770.ijrcog20203299

Tang, J., Gou, W., Fu, Y., Li, K., Guo, X., Huang, T., Liu, H., Li, D., & Zheng, J. S. (2022). Association between postterm pregnancy and adverse growth outcomes in preschool-age children. American Journal of Clinical Nutrition, 116(2), 482–490. https://doi.org/10.1093/ajcn/nqac127

Wennerholm, U. B., Saltvedt, S., Wessberg, A., Alkmark, M., Bergh, C., Wendel, S. B., Fadl, H., Jonsson, M., Ladfors, L., Sengpiel, V., Wesström, J., Wennergren, G., Wikström, A. K., Elden, H., Stephansson, O., & Hagberg, H. (2019). Induction of labour at 41 weeks versus expectant management and induction of labour at 42 weeks (SWEdish Post-term Induction Study, SWEPIS): Multicentre, open label, randomised, superiority trial. The BMJ, 367. https://doi.org/10.1136/bmj.l6131

Yang, Q., Zhou, C. C., Chen, Y., Pei, J. D., Hua, X. L., & Yao, L. P. (2023). Prediction model for successful induction of labor by cervical strain elastography diagnosed at late-term pregnancy in nulliparous women: a prospective cohort study. BMC Pregnancy and Childbirth, 23(1), 1–9. https://doi.org/10.1186/s12884-023-05426-7

Downloads

Published

2025-10-09

How to Cite

kundarti, F. isti, Okta Rihandhini, S., estuning rahayu, D., titisari, ira, & sisti nur rahmawati, R. (2025). Midwifery Care for Pregnant Women with Late-Term Pregnancy and Oligohydramnios. Health and Technology Journal (HTechJ), 3(5), 648–654. https://doi.org/10.53713/htechj.v3i5.373