True or False: Fetal distress may occur when a pregnancy lasts too long (postmaturity).

• A. True
• B. False
• C. Only if there are other complications
• D. It is unrelated to pregnancy duration

Answer: (A)

The statement is true because fetal distress can indeed occur when a pregnancy extends beyond the normal duration, commonly referred to as postmaturity. After the 42-week mark, the placenta may start to function less efficiently, resulting in reduced blood flow and oxygen supply to the fetus. This can lead to various complications, including fetal distress, characterized by changes in the fetal heart rate patterns. Additionally, postmaturity can increase the risk of other issues such as meconium aspiration, macrosomia (larger than average baby), and the possibility of uterine dysfunction during labor. Therefore, it is essential for healthcare providers to monitor pregnancies that go beyond the typical duration closely, as the risks to the fetus may escalate, warranting further intervention or delivery to ensure fetal well-being.