Advanced Maternal Age-perinatal outcome
Background: Pregnancy in older women is of great relevance. This study was undertaken to examine whether older women have higher rates of poorer perinatal outcome and whether any increased risk may be attributable to factors associated with advancing maternal age.
Method: It was a retrospective study done in a multi-speciality hospital. 57 elderly pregnant women more than 33 years of age coming for the delivery were taken.
Results: According to our data, 47% of patients were in 33-35 yrs age group and 42% were in group 36-40yrs. Maximum age of the patient was 46yrs. In our data Majority of the patients were housewives (61.40 %) and 38.59 % were employed. In our data 35% were conceived after assisted reproductive technology, Cerclage was done in 8.67%, 1.75% patients had previous history of anomalous fetus. 21.05% of patients had twin pregnancy. Majority of the patients (80.7%) were delivered by caesarian section. Preterm delivery rate was 49.1%. Normal Vaginal delivery rate was only 14%.
Conclusion: The study of complications with advanced maternal age is important. There are greater chances of developing adverse perinatal outcome. The neonate carries the risk of low apgar scores, low birth weight and neonatal death.
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