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Advance Maternal Age and Pregnancy Outcome

Authors: Meaad Bakr Dahos --- Weaam F. Almhfooth
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2013 Volume: 6 Issue: 1 Pages: 1531-1538
Publisher: Kerbala University جامعة كربلاء

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Abstract

bjective: The changing patterns of becoming pregnant at an advanced age haveserious public health impact because of increased risk of adverse pregnancyoutcome. Thus the objective of this study was to find the adverse pregnancyoutcome of advance maternal age and to estimate whether it was related to inter-currentillness 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 pregnancyoutcome was made on bases of maternal age at delivery and divided into (group A:20-34years old),(group B:35-40 years old),(group C:above 40 years old). Main outcome measureswere perinatal outcomes include intrauterine death, neonatal death, preterm birth, congenitalmalformation, macrosomia, low birth weight and fetal distress by apgar score. The obstetricaloutcomes, which include abortion, mode of delivery, antipartum hemorrhage, hypertensiondisorder, diabetic mellitus, postpartum hemorrhage and multiple pregnancy.Result: There were 14350 subject delivered at Al-Mawany General Hospital were choosingabout 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 malformationand low apgar score was significantly higher in advanced maternal age. The finding revealthat mother over 35 years showed more risk for abortion, hypertension disorder , multiplepregnancy antipartum hemorrhage, postpartum hemorrhage and caesarean section.Conclusions: We conclude that older women managed properly by modern obstetricmethods and delivered in modern health care center can expect good pregnancy outcome.

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