Obstetric and Perinatal Outcomes in Women ≥40 Years of Age: A Retrospective Study About 421 Cases in Mahdia
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...
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| Format: | Article |
| Language: | English |
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Medical Network
2020-12-01
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| Series: | Gynecology Obstetrics & Reproductive Medicine |
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| Online Access: | https://gorm.com.tr/index.php/GORM/article/view/912 |
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| _version_ | 1823857465635110912 |
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| author | Soumaya Kraiem Leila Souilem Dhekra Toumi Haifa Bouchahda |
| author_facet | Soumaya Kraiem Leila Souilem Dhekra Toumi Haifa Bouchahda |
| author_sort | Soumaya Kraiem |
| collection | DOAJ |
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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 retrospective study included 421 pregnant women aged more than 40 years and 421 controls aged 18-39, stratified 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 stillbirth 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 obstetrical, medical complications and cesarean section deliveries. Better pregnancy monitoring helps to improve this risky situation.
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| format | Article |
| id | doaj-art-fcb9ed2ed9ed43c187f625b361d1171d |
| institution | Kabale University |
| issn | 1300-4751 2602-4918 |
| language | English |
| publishDate | 2020-12-01 |
| publisher | Medical Network |
| record_format | Article |
| series | Gynecology Obstetrics & Reproductive Medicine |
| spelling | doaj-art-fcb9ed2ed9ed43c187f625b361d1171d2025-02-11T21:10:44ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182020-12-0126310.21613/GORM.2019.912Obstetric and Perinatal Outcomes in Women ≥40 Years of Age: A Retrospective Study About 421 Cases in MahdiaSoumaya Kraiem0Leila Souilem1Dhekra Toumi2Haifa Bouchahda3university of medecine of Monastiruniversity of medecine of Monastiruniversity of medecine of Monastiruniversity of medecine of Monastir 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 retrospective study included 421 pregnant women aged more than 40 years and 421 controls aged 18-39, stratified 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 stillbirth 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 obstetrical, medical complications and cesarean section deliveries. Better pregnancy monitoring helps to improve this risky situation. https://gorm.com.tr/index.php/GORM/article/view/912Advanced maternal agePerinatal outcomesPregnancy complications |
| spellingShingle | Soumaya Kraiem Leila Souilem Dhekra Toumi Haifa Bouchahda Obstetric and Perinatal Outcomes in Women ≥40 Years of Age: A Retrospective Study About 421 Cases in Mahdia Gynecology Obstetrics & Reproductive Medicine Advanced maternal age Perinatal outcomes Pregnancy complications |
| title | Obstetric and Perinatal Outcomes in Women ≥40 Years of Age: A Retrospective Study About 421 Cases in Mahdia |
| title_full | Obstetric and Perinatal Outcomes in Women ≥40 Years of Age: A Retrospective Study About 421 Cases in Mahdia |
| title_fullStr | Obstetric and Perinatal Outcomes in Women ≥40 Years of Age: A Retrospective Study About 421 Cases in Mahdia |
| title_full_unstemmed | Obstetric and Perinatal Outcomes in Women ≥40 Years of Age: A Retrospective Study About 421 Cases in Mahdia |
| title_short | Obstetric and Perinatal Outcomes in Women ≥40 Years of Age: A Retrospective Study About 421 Cases in Mahdia |
| title_sort | obstetric and perinatal outcomes in women ≥40 years of age a retrospective study about 421 cases in mahdia |
| topic | Advanced maternal age Perinatal outcomes Pregnancy complications |
| url | https://gorm.com.tr/index.php/GORM/article/view/912 |
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