Fetomaternal outcome among elderly gravida and normal age group mothers

Authors

  • Deepa M. Deeksha Department of Obstetrics and Gynecology, Tirunelveli Medical College Hospital, Tirunelveli, Tamilnadu, India
  • Sujatha M. Alagesan Department of Obstetrics and Gynecology, Tirunelveli Medical College Hospital, Tirunelveli, Tamilnadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20232275

Keywords:

Fetal and maternal complication, Maternal age, Pregnancy outcome

Abstract

Background: Advanced maternal age is defined as 35 years or more at estimated date of delivery is considered to have higher incidence of obstetric complications and adverse pregnancy outcome than younger women. Maternal age plays a vital role in pregnancy outcome. This study is instituted with the idea of identifying the association of advanced maternal age and adverse pregnancy outcome. Objective was to compare demographic characteristics and maternal outcome in elderly pregnancy in comparison with normal age group pregnancy. To compare perinatal outcome of elderly pregnancy with normal age group pregnancy.

Methods: This was comparative case control study conducted at department of obstetrics and gynecology, Tirunelveli medical college hospital in 100 patients, about 50 in each of the 2 groups with maternal age > 35years and < 35 years. A group 1 (study group) was pregnant women of age >35 years and group 2 was pregnant women of age >18 years and<35 years. Pregnant women of age< 18 years and pregnant women having major medical disorders before pregnancy were excluded from study.

Results: Among the study group incidence of artificial conception; spontaneous abortion; overt diabetes; chronic hypertension; preeclampsia; gestational hypertension ; fetal complications like FGR; shoulder dystocia were statistically significant.

Conclusions: This study concludes that there is raised maternal morbidity and operative interventions needed with increasing age. Close monitoring for any complications is vital as early diagnosis and intervention will bring an excellent maternal and fetal outcome.

References

Seasons India. Delayed pregnancy 2009. Available at: http://www.seasonsindia.com. Accessed 02nd March 2023.

Berkowitz GS, Skovron ML, Lapinski RH, Berkowitz RL. Delayed child bearing and the outcome of pregnancy. N Engl J Med. 1990;322(10):659-64.

Lee KS, Ferguson RM, Corpuz M, Gartner LM. Maternal age and incidence of low birth weight at term: a population study. Ame J Obstet Gynecol. 1988;158(1):84-9.

Fretts RC, Schmittdiel J, McLean FH, Usher RH, Goldman MB. Increased maternal age and the risk of fetal death. N Eng J Med. 1995;333(15):953-7.

Cleary-Goldman J, Malone FD, Vidaver J, Ball RH, Nyberg DA, Comstock CH, et al. Impact of maternal age on obstetric outcome. ObstetGynecol. 2005;105(1):983-90.

Bobrowski RA, Bottoms SF. Underappreciated risks of the elderly multipara. Am J ObstetGynecol. 1995;172:1764-70.

Gulani KK. Community health nursing, Principles and Practices. Kumar Publishing House; 2005:351.

Older mothers–facts and gures, 2006. Available at: http://www.mothers35plus.co.uk/. 05th March 2023.

Edge VL, Laros RK. Pregnancy outcome in nulliparous women aged 35 or older. Am J Obstet Gynecol. 1993n;168(6 Pt 1):1881-5.

Naqvi MM, Naseem A. Obstetrical risks in the older primigravida. J Coll Physicians Surg Pak. 2004;14(5):278-81.

Sivalingam N, Avalani C. The elderly primigravida-evaluation of 90 cases. Singapore Med J. 1989;30(5):460-5.

Achanna S, Monga D. Performance of elderly primigravidae in Kelantan. Med J Malaysia. 1995;50(1):37-41.

Amarin VN, Akasheh HF. Advanced maternal age and pregnancy outcome. East Mediterr Health J. 2001;7(4-5):646-51.

Ziadeh SM. Maternal and perinatal outcome in nulliparous women aged 35 and older. Gynecol Obstet Invest. 2002;54(1):6-10.

Anate M, AkeredoluO.Pregnancy outcome in elderly primigravidae at University of Ilorin Teaching Hospital, Nigeria. East Afr Med J. 1996;73(8):548 -51.

Bell JS, Campbell DM, Graham WJ, Penney GC, Ryan M, Hall MH. Can obstetric complications explain the high levels of obstetric interventions and maternity service use among older women? A retrospective analysis of routinely collected data. Br J Obstet Gynaecol. 2001;108(9):910-8.

Rosenthal AN, Paterson-Brown S. Is there an incremental rise in the risk of obstetric intervention with increasing maternal age? Br J Obstet Gynaecol. 1998;105(10):1064-9.

Gordon D, Milberg J, Daling J, Hickok D. Advanced maternal age as a risk factor for cesarean delivery. Obstet Gynecol. 1991;77(4):493-7.

Adashek JA, Peaceman AM, Lopez-Zeno JA, Minogue JP, Socol ML. Factors contributing to the increased cesarean birth rate in older parturient women. Am J Obstet Gynecol. 1993;169(4):936-40.

Bachhav AA1, Waikar M. Low amniotic uid index at term as a predictor of adverse perinatal outcome. J Obstet Gynaecol India. 2014;64(2):120-3.

Bhagat M and Chawla I. Correlation of amniotic _uid index with perinatal outcome. J Obstet Gynaecol India. 2014;64(1):32-5.

Allahbadia G, Vaidya P, Ambiye VR. Obstetric hazards among elderly primigravidae. J Indian Med Assoc. 1994;92(5):144-6.

Downloads

Published

2023-07-28

Issue

Section

Original Research Articles