[Prolonged and postmature pregnancy terminated in non-hospital institutions].

Out of 4023 deliveries, the authors came across 291 prolonged ones, of which 39 were postmature deliveries. They followed the issue of these pregnancies in the conditions of non-hospital health care. The mortality rate of postmature deliveries was 10.2%. It is recommended that all prolonged and postmature pregnancies are referred to larger hospital-type maternity wards where more help can be offered to the pregnant woman and where the actual state of the fetoplacental unit can be properly followed. However, in cases when prolonged and postmature pregnancies are to be terminated in a non-hospital institution because of the women's refusal to go a larger maternity ward, it is proposed in present conditions to use as a diagnositc means also amnioscopy in addition to cytohormonal analysis.