Dergiler / GORM:Gynecology Obstetrics & Reproductive Medicine / 2020 / Cilt: 26 - Sayı: 3

Obstetric and Perinatal Outcomes in Women ≥40 Years of Age: A Retrospective Study About 421 Cases in Mahdia

Sayfa
188–191
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Better pregnancy monitoring helps to improve this risky situation.

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Amaç & Hipotez:OBJECTIVES: All this study is aimed to evaluate obstetrical and neonatal outcomes among women age 40 years and older.
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Temel Bulgular & Veri:STUDY DESIGN: Among 9962 women who delivered in Mahdia’s hospital between January 2015 and December 2016, 421 women (4.22%) were 40 years old or older at the time of delivery.
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Sonuç & Katkı:Better pregnancy monitoring helps to improve this risky situation.
🔬Tür:Araştırma Makalesi
📍Kapsam:2015 Verileri
⚙️Değişkenler:Alan Parametreleri

Özet

OBJECTIVES: All this study is aimed to evaluate obstetrical and neonatal outcomes among women age 40 years and older. STUDY DESIGN: Among 9962 women who delivered in Mahdia’s hospital between January 2015 and December 2016, 421 women (4.22%) were 40 years old or older at the time of delivery. Our retrospec-tive study included 421 pregnant women aged more than 40 years and 421 controls aged 18-39, strat-ified to parity. Data were analyzed using Pearson’s χ22 test. RESULTS: The mean age of the case group was 41.32 years and that for the control group was 31.25 years. Preeclampsia and diabetes were the most common pathologies (p=0.01), the mode of delivery was marked by a high rate of cesarean section. The rate of instrumental extractions was not influenced by age. The rate of neonatal admission and 10-minute Apgar Scores<7 were significantly higher in the older group (p<0.05). The rate of abruption placenta, placenta previa, postpartum hemorrhage, and still-birth were increased in mothers over 40 years but there was no difference statically. CONCLUSION: Based on findings, maternal age over 40 years is associated with a high rate of ob-stetrical, medical complications and cesarean section deliveries. Better pregnancy monitoring helps to improve this risky situation.

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Bu Makaleye Atıf Yap

KRAIEM, S., SOUILEM, L., TOUMI, D., BOUCHAHDA, H. (2020). Obstetric and Perinatal Outcomes in Women ≥40 Years of Age: A Retrospective Study About 421 Cases in Mahdia. GORM:Gynecology Obstetrics & Reproductive Medicine, Cilt: 26 - Sayı: 3, 188–191. https://ajindex.com/articles/227525

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Kaynakça (4)

  1. Balasch J, Gratacos E. Delayed childbearing: effects on fertility and the outcome of pregnancy. Curr Opin Obstet Gynecol. 2012;24(3):187-93. doi: 10.1097/GCO.0b013e 3283517908
  2. Robinson-Bassey GC, Abua MA. Influence of advanced maternal on obstetric performance of pregnant women attending general hospital calabar. GJ Medi Sciences. 2010;9(1-2):57-61
  3. Cleary-Goldman J, Malone FD, Vidaver J, Ball RH, Nyberg DA, Comstock CH, et al. Impact of maternal age on obstetric outcome. Obstet Gynecol. 2005;105(5 Pt 1): 983-90. DOI: 10.1097/01.AOG.0000158118.75532.51 4. Klemetti R, Gissler M, Sainio S, Hemminki E. Associations of maternal age with maternity care use and birth outcomes in primiparous women: a comparison of results in 1991 and 2008 in Finland. BJOG. 2014;121(3): 356-62. DOI: 10.1111/1471-0528.12415 5. Lisonkova S, Potts J, Muraca GM, Razaz N, Sabr Y, Chan WS, et al. Maternal age and severe maternal morbidity: A population-based retrospective cohort study. PLoS Med. 2017;14(5):e1002307. DOI: 10.1371/journal.pmed.1002 307 6. Liu X, Zhang W. Effect of maternal age on pregnancy: a retrospective cohort study. Chin Med J (Engl). 2014;127 (12):2241-6
  4. Osmundson SS, Gould JB, Butwick AJ, Yeaton-Massey A, El-Sayed YY. Labor outcome at extremely advanced maternal age. Am J Obstet Gynecol. 2016;214(3):362.e1- 7. DOI: 10.1016/j.ajog.2015.09.103 8. Weerasekera DS, Udugama SG. Pregnancy outcome at 40 and over: a case control study in a developing country. J Obstet Gynaecol. 2003;23(6):625-7. DOI: 10.1080/014 43610310001604385 9. Ananth CV, Wilcox AJ, Savitz DA, Bowes WA Jr, Luther ER. Effect of maternal age and parity on the risk of uteroplacental bleeding disorders in pregnancy. Obstet Gynecol 1996;88(4 Pt 1):511-6. DOI: 10.1016/0029-7844(96) 00236-0 10. Favilli A, Pericoli S, Acanfora MM, Bini V, Di Renzo GC, Gerli S. Pregnancy outcome in women aged 40 years or more. J Matern Fetal Neonatal Med. 2012;25(8):1260- 3. DOI: 10.3109/14767058.2011.643327 11. Timofeev J, Reddy UM, Huang CC, Driggers RW, Landy HJ, Laughon SK. Obstetric complications, neonatal morbidity, and indications for cesarean delivery by maternal age. Obstet Gynecol. 2013;122(6):1184-95. DOI: 10.1097/AOG.0000000000000017 12. Hoffman MC, Jeffers S, Carter J, Duthely L, Cotter A, González-Quintero VH. Pregnancy at or beyond age 40 years is associated with an increased risk of fetal death and other adverse outcomes. Am J Obstet Gynecol. 2007;196(5):e11-3. DOI: 10.1016/j.ajog.2006.10.862 13. Wa