Obstet Gynecol. In , the overall incidence of postterm pregnancy in the United States was 5. The incidence of postterm pregnancies may vary by population, in part as a result of differences in regional management practices for pregnancies that go beyond the estimated date of delivery. Accurate determination of gestational age is essential to accurate diagnosis and appropriate management of late-term and postterm pregnancies. Antepartum fetal surveillance and induction of labor have been evaluated as strategies to decrease the risks of perinatal morbidity and mortality associated with late-term and postterm pregnancies. The purpose of this document is to review the current understanding of late-term and post-term pregnancies and provide guidelines for management that have been validated by appropriately conducted outcome-based research when available.
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The League is packed with features that allow users to safely and successfully video date right from the comfort of their couch.
The dating scene could be a confusing place in world where at least some social distancing seems likely for the foreseeable future. And while many people will have maintained or begun contact with romantic partners online during lockdown, video chats and text messages are clearly not a long-term substitute for intimate or even non-intimate physical contact.
Parental investment theory, for example, predicts that in humans and other animals , it is the sex investing more heavily in their offspring who will be more choosy or selective in securing a mate. Male reproduction requires relatively little investment over and above a few minutes of sexual contact, whereas female reproductive effort requires nine months or longer. To see how these sex differences were evident in online opposite-sex dating, we conducted a study in which participants viewed and responded to photographs of potential dates in a simulated online dating environment.
The number of people they chose to date and the time it took them to make each choice was recorded. The photographs used were prejudged for level of attractiveness and categorised as being of high or low attractiveness. In keeping with parental investment theory, we found that men chose a greater number of potential dates overall compared to women and did so regardless of the level of attractiveness of the photos they viewed. When presented with attractive faces and less attractive faces, women chose more of the attractive ones.
Men chose an almost equal number of attractive as unattractive photos. Therefore women were more selective. On measuring the time it took them to make choices, both men and women took more time to consider the attractive photos compared to the unattractive ones.
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Ultrasonographic dating early in pregnancy can improve the before 20 weeks of gestation consistent with dates by the patient’s LMP.
Labour is a complex interaction of chemicals and hormones between the mother and baby. There is very little evidence to pinpoint exactly what happens to start labour, but we do know that several things need to happen for labour to take place. In order for a baby to be born the cervix the neck or opening to the womb has to shorten, soften and open. Induction of labour is a process used to encourage labour to start artificially. There are several chemical and mechanical methods we can offer you to initiate labour.
Your individual circumstances, and that of your body, will determine the best course of action offered to you. These may be medical or non-medical in nature. It may also be the reduction of the risk of potential issues occurring, before they start or worsen. We aim to ensure that all the reasons induction of labour is offered are evidence based. Prolonged pregnancy — pregnancy that continues after 41 weeks. After 41 weeks there is some evidence to suggest that for some babies the placenta, the organ which has been nurturing your baby inside the womb, may start to deteriorate, causing a slight increase in the potential for your baby to develop problems.
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Your midwifery care starts when you are about eight weeks pregnant. Please let your local midwifery team know of your pregnancy as early as possible by requesting your antenatal first booking appointment. Your midwife can then plan your pattern of care with you, based on national guidelines and your personal needs. A midwife will issue this at your scheduled antenatal appointment when you are over 21 weeks of pregnancy.
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