OverDue Pregnancy

Your due date has come and gone — and you're still pregnant. What's going on?

Although your due date may seem to have magical qualities, it's simply an educated guess about when your baby is most likely to arrive. It's perfectly normal to give birth one to two weeks before — or after — your due date. In fact, your pregnancy must continue two weeks past your due date to earn the official label of overdue pregnancy, also known as post-term pregnancy.

Enough already!

You may be more likely to have an overdue pregnancy if:

• The exact date of the start of your last menstrual period isn't known
• This is your first pregnancy
• You've had prior overdue pregnancies
• Overdue pregnancy runs in your family
• Your baby is a boy

Rarely, overdue pregnancy may be related to problems with the placenta or the baby.

Whatever the cause, you're probably tired of being pregnant by this point. Your back may ache, and your ankles may be swollen. You may be struggling with heartburn and hemorrhoids. You may have trouble sleeping because you simply can't get comfortable — or anxiety about childbirth may keep you awake.

Rest assured, an overdue pregnancy won't last forever. Labor may begin at any time.

Keeping an eye on your pregnancy

Prenatal care will continue after you pass your due date. Your health care provider will watch for signs of complications, such as preeclampsia. He or she will also check your cervix to see if it's begun to thin and dilate in preparation for labor. If you're more than one week past your due date, your health care provider may track your baby's heartbeat with an electronic fetal monitor or use ultrasound to observe your baby's movements and measure the amount of amniotic fluid.

Giving baby a nudge

Sometimes, it's better to deliver sooner rather than later — particularly if your health care provider is concerned about your health or your baby's health or if your pregnancy continues more than two weeks past your due date.

Why the concern about two weeks? At this point in pregnancy, your baby's size may complicate a vaginal delivery. In a few cases, aging of the placenta may compromise a baby's ability to thrive in the womb. An overdue baby is also more likely to inhale fecal waste (meconium), which can cause breathing problems or an infection after birth.

If you and your health care provider decide to induce your labor, you may be given medication to help your cervix soften and open. If your amniotic sac is still intact, your health care provider may break your water by creating an opening with a thin plastic hook. It doesn't hurt, but you may feel a warm gush of fluid when the sac breaks open.

If necessary, you may also be given medication to kick-start your contractions. A common choice is Pitocin, a synthetic version of oxytocin — a hormone that causes the uterus to contract. The dosage may be adjusted to regulate the strength and frequency of your contractions.

Hang in there

You're in the homestretch! Whether your health care provider suggests a wait-and-see approach or schedules an induction, do your best to enjoy the rest of your pregnancy.

• Accept your emotions. It's OK to feel frustrated or disappointed. You probably didn't bargain for more than 40 weeks of pregnancy.
• Take advantage of the extra time. Sleep while you can. Put the finishing touches on the nursery. Stock your freezer with extra meals. Address birth announcements and thank-you cards.
• Make plans. Your health care provider may want you to stay close to home, but that's no reason to miss a new movie, go out to dinner or take a walk in the park. Don't be afraid to make plans just because you may need to cancel at the last minute.
• Put your answering machine or voice mail to work. To keep well-meaning friends and loved ones informed, consider recording a greeting with the latest on the pregnancy front. "We're patiently waiting for the big day!" may be enough to handle the inquiries that are sure to test your patience.
• Treat home remedies with a dose of caution. A simple Internet search will yield countless results for "natural" ways to trigger labor, such as eating spicy food or having sex. Some tactics are relaxing, others silly — and a few may do more harm than good. Get your health care provider's OK before trying any home remedies, herbal supplements or alternative treatments.
• Stay in touch with your health care provider. You'll need frequent checkups until your baby is born. Make sure you know what to do if you think you're in labor.

Soon you'll hold your baby in your arms — and the long wait won't matter

Source taken at Mayoclinic.com