Postterm pregnancy remains constantly a difficult and controversial problem in modern obstetrics. The aim of this study is to discuss the definition of the postterm pregnancy, complications for both the foetus (macrosomia associated with birth trauma and shoulder dystocia, oligohydramnios, meconium aspiration, postmaturity syndrome) and mother (increase rate of caesarean births). We discussed also the antepartum surveillance and the management of the postterm gestation (time and way of delivery). The management of postterm pregnancy should be individualised and based on the above findings. Treatment includes active methods (induction of labour, elective caesarean section) or conservative way (strict foetal antenatal surveillance).