DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20175247

Study of pregnancy outcome in elderly gravida

Pratibha V. Dixit, Madhuri A. Mehendale

Abstract


Background: Elderly gravida which is defined as age of mother as 35 years or more at the time of delivery has become increasingly common in last two to three decades. This accelerating demographic shift is of major clinical and public health concern, because advanced maternal age has consistently been associated with adverse pregnancy outcomes.

Methods: An observational prospective study consisting of 120 pregnant women. All participants were divided into Study group and Control group.

Results: Women of advanced maternal age have higher frequency of antenatal complications leading to early pregnancy termination and operative interference. There is significant increase in the incidence of adverse perinatal outcome due to preterm deliveries and NICU admission and neonatal death.

Conclusions: With improved health services and better prospects of women who are >35 years of becoming pregnant, these pregnancies are fraught with complications. Women should realistically appraise the risks of pregnancy in later life. Hence these women should be counselled, and their complications managed with utmost care.


Keywords


Antenatal complication, NICU

Full Text:

PDF

References


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

Bianco A, Stone J, Lynch L, Lapinski R, Berkowitz G, Berkowitz R. Pregnancy outcome at age 40 and older. Obstet Gynecol. 1996;87:917-22.

Unnithan M, Susan B, William L, Dimitrios N. Reproductive Ageing. Chloe V, Ruth CF. Pregnancy and advanced maternal age. Progress in Obstetrics and gynecology. Cambridge University Press;2009:22-26.

Abu-Heija AT, Jallad MF, Abukteish F. Maternal and perinatal outcome of pregnancies after the age of 45. J Obstet Gynecol Res. 2000;26(1):27-30.

Sahu TM, Aggarwal A, Das V. Advanced maternal age and obstetric outcome. J Obstet Gynecol India. 2007;57(4):320-3.

Nojomi M, Haghighi L, Bijari B, Rezvani L, Tabatabaee SK. Delayed childbearing: pregnancy and maternal outcomes. Int J Reprod BioMed. 2010;8(2):80-5.

Verma S. Advanced maternal age and obstetric performance. Apollo Medicine. 2009;6(3):258-263.

Eleje GU, lgwegbe AO, Okonkwo JE, Udigwe GO, Eke AC. Elderly primigravidae versus young primigravidae: a review of pregnancy outcome in a low resource setting. Niger J Med. 2014 Jul-Sep;23(3):220-9.

Seoud MA, Nassar AH, Usta IM, Melhem Z, Kazma A, Khalil AM. Impact of advanced maternal age on pregnancy outcome. Amer J Perinatol. 2002;19(1):1-8.

Gharoro EP, Igbafe AA. Maternal age at first birth and obstetric outcome. Nigerian J Clin Pract. 2002;5(1):20-4.

Chibber R. Problems of older maternal age and pregnancy outcome. Bahrain Med Bull. 2004 Sep;26(4):1-9.

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

Ustun Y, Engin-Ustun, Y, Mcydanli M, Atmaca R, Kafkasli A. Maternal and neonatal outcome in pregnancies in 35 and older age group. J Turkish German Gynecol Assoc. 2005;6(1):46-8.

Jolly M, Sebire N, Haris J, Robinson S, Regan L. The risks associated with pregnancy in women aged 35 years or older. Hum Reprod. 2000;15(11):2433-7.

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