Nachtermins

Nachtermins, also known as post-term pregnancies, refer to pregnancies that extend beyond the typical gestational period, usually defined as 42 weeks (294 days) from the first day of the last menstrual period. While the average pregnancy lasts approximately 40 weeks, about 5-10% of pregnancies become post-term. This condition can pose risks to both the mother and the fetus, including increased likelihood of fetal macrosomia, birth complications, placental insufficiency, and stillbirth.

The exact causes of Nachtermins are not fully understood, but factors such as maternal age, previous post-term pregnancies, obesity, and certain fetal or placental conditions may contribute. Diagnosis is typically made through gestational age assessment using ultrasound and menstrual history.

Management of Nachtermins involves close monitoring of fetal well-being through methods like non-stress tests, biophysical profiles, and Doppler studies to assess placental function. If the pregnancy exceeds 41-42 weeks and there are signs of fetal distress or other complications, healthcare providers usually recommend intervention, which may include induction of labor or cesarean section.

Preventive strategies include accurate dating early in pregnancy, regular prenatal visits, and assessments to identify pregnancies at risk of becoming post-term. While many post-term pregnancies result in healthy outcomes, careful management is essential to minimize potential complications. The approach to delivery timing aims to balance the risks of ongoing pregnancy with those associated with early delivery, ensuring safety for both mother and child.

In summary, Nachtermins is a term describing pregnancies that extend beyond 42 weeks, requiring careful monitoring and management to ensure optimal outcomes.