fullgång

Fullgång, in Swedish obstetrics, denotes a pregnancy that has reached term and is considered ready for birth. The term typically refers to gestational ages from about 37 to 42 weeks measured from the first day of the last menstrual period. Within this range, some guidelines distinguish subcategories: early term (37 0/7 to 38 6/7 weeks), full term (39 0/7 to 40 6/7 weeks), late term (41 0/7 to 41 6/7 weeks) and postterm (42 0/7 weeks and beyond). The concept emphasizes fetal maturity, especially lung development, and readiness for extrauterine life.

During fullgång, most pregnancies progress without complication, and labor begins spontaneously. Prenatal care focuses on confirming gestational age, monitoring fetal growth and wellbeing, placental function, and the amount of amniotic fluid. Dating is crucial; if ultrasound dating differs from the last menstrual period, clinicians may adjust the estimated due date. If pregnancy continues beyond the due date, many guidelines suggest assessment and possibly induction around 41 weeks to reduce risks.

Postterm pregnancies carry greater risks, including aging of the placenta, reduced placental function, decreased amniotic fluid, and potential fetal distress or meconium aspiration. Management involves closer surveillance, such as non-stress tests and ultrasound assessment, and consideration of induction or delivery if concerns arise.

In Swedish medical language, fullgång is the term used to describe term pregnancy and the period of birth readiness, with the precise time frame defined by guideline context.