Abstract
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.
Highlights
Many women are increasingly delaying pregnancy and childbirth in their fourth decade of life for different reasons, such as late marriage, educational and professional reasons [1]
Preeclampsia and diabetes were the most common pathologies (p=0.01), the mode of delivery was marked by a high rate of cesarean section
Based on findings, maternal age over 40 years is associated with a high rate of obstetrical, medical complications and cesarean section deliveries
Summary
Many women are increasingly delaying pregnancy and childbirth in their fourth decade of life for different reasons, such as late marriage, educational and professional reasons [1]. Some of them have had the pregnancy involuntarily due to the inappropriate use of contraceptive methods. Submitted for Publication: Revised for: Publication Accepted for Publication: ORCID IDs of the authors: LS: 0000-0001-9744-8570 HB:0000-0002-8170-8224. SK: 0000-0003-1704-2613, DT: 0000-0001-7088-2940, Quick Response Code: Access this article online. How to cite this article: Kraıem S. Obstetric and Perinatal Outcomes in Women ≥40 Years of Age:A Retrospective Study About 421 Cases in Mahdia. Gynecol Obstet Reprod Med. 2020;26(3):188191 age for pregnancy and the effect of age on pregnancy are subjects that are attracting increased interest among researchers
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