Advance Maternal Age and Pregnancy Outcome
Kerbala Journal of Medicine,
Volume 6, Issue 1, Pages 1531-1538
Abstractbjective: The changing patterns of becoming pregnant at an advanced age have
serious public health impact because of increased risk of adverse pregnancy
outcome. Thus the objective of this study was to find the adverse pregnancy
outcome of advance maternal age and to estimate whether it was related to inter-current
illness and pregnancy complications.
Study design: This prospective comparative study was conducted at labor room in AL-
Mawany General Hospital from October 2011 –October 2012. A comparison of pregnancy
outcome was made on bases of maternal age at delivery and divided into (group A:20-34
years old),(group B:35-40 years old),(group C:above 40 years old). Main outcome measures
were perinatal outcomes include intrauterine death, neonatal death, preterm birth, congenital
malformation, macrosomia, low birth weight and fetal distress by apgar score. The obstetrical
outcomes, which include abortion, mode of delivery, antipartum hemorrhage, hypertension
disorder, diabetic mellitus, postpartum hemorrhage and multiple pregnancy.
Result: There were 14350 subject delivered at Al-Mawany General Hospital were choosing
about 534 subject whom meet the inclusions criteria, selected women divided in to 3 groups:
A: 20-34 years (NO.252,47%),B:35-40 years (NO.171,32%) and C: above 40 years
(NO.111,20%). The frequencies of macrosomia, intrauterine death, congenital malformation
and low apgar score was significantly higher in advanced maternal age. The finding reveal
that mother over 35 years showed more risk for abortion, hypertension disorder , multiple
pregnancy antipartum hemorrhage, postpartum hemorrhage and caesarean section.
Conclusions: We conclude that older women managed properly by modern obstetric
methods and delivered in modern health care center can expect good pregnancy outcome.
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