Elderly Versus Young Primi Gravida: A Clinical Analysis of Pregnancy Outcome in a Tertiary Care Hospital in Kashmir
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 3
Abstract
Background: In obstetric practice, maternal age is an important determinant of outcome of pregnancy. One such risk factor is an elderly pregnancy that leads to many complications during pregnancy, labor and also for the baby. This study was designed to assess pregnancy outcome in elderly primi gravida compared to her younger counterpart, in a tertiary hospital in Srinagar, Kashmir. Method: This hospital based prospective comparative study was conducted over a period of One year from February 2016 to February 2017. Results: This study showed increased maternal complications like anemia in 35.7% gestational hypertension in 28.5%, gestational diabetes mellitus in 5.7%, antepartum haemorrhage in 5.7%, preterm vaginal delivery15.7%. Cesarean section rate 70%, induction of labour in 22.8% and normal delivery in 22.8%. Conclusion: Elderly primi gravidae are at high risk of several complications including anemia, instrumental delivery, increasing cesarean section rate, induction of labour, pregnancy induced hypertension. It was concluded that among maternal pregnancy outcome anemia, hypertensive disorder of pregnancy were found significantly more in elderly primi, fetal pregnancy outcome such as preterm labour were found more significantly more in elderly primigravida. Likewise spontaneous, vaginal deliveries were significantly less in elderly primi gravida. Apgar score <7 at 5 min, NICU admission, perinatal mortality was significantly higher in newborns of elderly primi gravida.
Authors and Affiliations
Bilal- ur-Rehman, Cimona Lyn Saldanha
Keywords
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- EP ID EP547782
- DOI 10.21276/ijmrp.2017.3.3.011
- Views 106
- Downloads 0
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