OUTCOME OF PREGNANCY IN ELDERLY GRAVIDAE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 12
Abstract
BACKGROUND Advanced maternal age, generally held to signify 35 years of age at the time of delivery is the term that implies decreased fertility and increased risk. The changing role of women in the work place with more career opportunities available, has undoubtedly affected childbearing. Availability of assisted reproductive techniques to older women has allowed many to achieve pregnancy and childbearing. The objectives of the study were- to study the maternal and perinatal outcome in gravidae more than or equal to 35 years of age and to compare the outcome with younger women aged between 20-29 years. MATERIALS AND METHODS This prospective observational study was conducted in a tertiary care centre in South India for a period of one and a half years. Study group included 100 elderly gravidae and 200 younger gravidae and their neonates. RESULTS The incidence of hypertensive disorders, gestational diabetes, preterm labour, malpresentations, placenta previa, post-partum haemorrhage and caesarean rates were found to be increased in elderly gravidae. No difference was found in the incidence of abruptio placentae and labour induction. Low birth weight babies, foetal distress and neonatal ICU admissions were increased among neonates of elderly gravidae with no difference in Oligamnios, polyhydramnios and Doppler abnormalities among the two study groups. CONCLUSION Early booking, close supervision in the antenatal and intrapartum period, active management of labour and appropriately trained obstetric interventions are essential for an optimal outcome in the management of elderly gravidae.
Authors and Affiliations
Asha P. S, Sapna S
Keywords
Related Articles
- EP ID EP538555
- DOI 10.18410/jebmh/2018/226
- Views 80
- Downloads 0
CAN PRE-OPERATIVE TUMOUR THICKNESS ON CT SCAN PREDICT REGIONAL LYMPH NODE METASTASIS IN GASTRIC ADENOCARCINOMA: A SHORT TERM RETROSPECTIVE STUDY
BACKGROUND Gastric cancers are among the commonest cancers in developing countries including India. Majority of the patients present in late stages of disease with dismal outcomes. METHODS Medical records of patients und...
PREDICTORS OF EARLY MORTALITY IN ANTERIOR CIRCULATION STROKE
To assess and evaluate the significance of common clinical parameters as independent indices of mortality in stroke. To evaluate and correlate Rodrigues and Joshi's prognostic score with Bandolier's prognostic index as p...
KNOWLEDGE, ATTITUDE AND PRACTICE REGARDING DIABETIC RETINOPATHY AMONG GENERAL POPULATION OF SOUTHERN ODISHA: A CROSS SECTIONAL STUDY
BACKGROUND Diabetes Mellitus is a global public health problem as its incidence is increasing worldwide due to changing life styles. Global prevalence of diabetes is 8.5% in adult population. 422 million people are livin...
A COMPARATIVE STUDY OF BUPIVACAINE WITH MIDAZOLAM AND BUPIVACAINE ALONE IN BRACHIAL PLEXUS BLOCKADE
BACKGROUND Regional anaesthesia as the name implies is the blocking of peripheral nerve conduction in a reversible manner by using local anaesthetic agents, thereby one region of the body is made insensitive to pain and...
A STUDY OF KIDNEY ANOMALIES - HYPO PLASTIC KIDNEY
INTRODUCTION: The subject of kidney anomalies has created much interest to the scientists in late 1950 and 1960 with the aim of prevention and curing. Etiological factors includes various genetic environmental factors, t...