Overdue Pregnancy: Risks and Next Steps

The due date is an estimate, and many pregnancies continue beyond it without a serious problem. With further progression, the placenta may become less able to support the baby, fluid around the baby may reduce, and the baby may pass meconium before birth. The baby may also grow larger, which can affect labour and delivery planning. Your care team considers your dates, examination findings, fetal movements, medical history, and monitoring results together.

Keep scheduled antenatal appointments and report any change in fetal movements promptly. Your team may discuss fetal heart monitoring, ultrasound assessment, cervical examination, or waiting with a clear review plan. They may also offer induction of labour. A membrane sweep is another option that can be discussed when appropriate. Ask how each option fits your pregnancy, what happens if labour does not start, and how you can make an informed choice.

Contact your maternity unit urgently for reduced or changed fetal movements, vaginal bleeding, leaking fluid, regular painful contractions, severe headache, vision changes, sudden swelling, or severe abdominal pain. Do not wait for a routine appointment when movements are reduced. Emergency help is needed if you collapse, have heavy bleeding, or feel seriously unwell.

Ask how your due date was established, which monitoring is planned, what findings would change the plan, and the benefits and drawbacks of waiting, a membrane sweep, or induction for your situation.