Maternal and Perinatal Outcome of Pregnancies after the Age of 45

Abu-Heija, Adel T.; Jallad, M. F.; Abukteish, F

doi:10.1111/j.1447-0756.2000.tb01196.x

Cited by 34 publications

(50 citation statements)

References 7 publications

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“…Placenta previa occurred in 9% cases and the results are comparable to a study by Gilbert 9 et al which showed 10-fold increased risk of placenta previa in elderly gravidae. This is slightly higher when compared to a study by Abu-Hieja et al 10 where the incidence was 4.4%. Abruption occurred in 2% cases and 1% controls.…”

Section: Discussioncontrasting

confidence: 63%

Outcome of Pregnancy in Elderly Gravidae

P.S¹,

Sapna²

2018

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BACKGROUNDAdvanced 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.

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Section: Discussioncontrasting

confidence: 63%

Outcome of Pregnancy in Elderly Gravidae

P.S¹,

Sapna²

2018

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“…Protection of the pelvic floor is a frequently cited reason for requesting a caesarean section and the basis on which the female obstetricians in London in the previously mentioned study made their choice. 7 The belief that childbirth inevitably damages the pelvic floor, and that caesarean sections can effectively prevent subsequent incontinence, prolapse and sexual dysfunction, is often tempered by strong cultural and peer pressures. There is controversy surrounding the etiology of pelvic floor dysfunction arising after pregnancy, and the cause of this may relate to pregnancy rather than labour and delivery.…”

Section: Why Do Women Prefer Caserean Sectionmentioning

confidence: 99%

“…Yet, 69% of obstetricians would perform a caesarean section for maternal request. 7 This can only mean that the obstetricians believe that the risks of caesarean section are so close to the risks of labour and vaginal delivery that maternal choice can be allowed to influence this decision.…”

Section: Medicolegal and Ethical Issuementioning

confidence: 99%

“…6 Not surprisingly, 69% of obstetricians when faced with a woman requesting a caesarean section would comply with such a wish. 7 The emergence of the maternal request caesarean section, as an entity, results from both the willingness of women to accept this intervention as well as the willingness of their obstetricians to accede to this request.…”

Section: Introductionmentioning

confidence: 99%

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Review of Cesarean Section on Maternal Request in a Tertiary Care Institute; Scenario in Developing Country

Panda

Jha

Singh

2015

Kathmandu Univ. Med. J.

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Mother requesting of caesarean reflects a belief among society that elective caesarean safer than vaginal delivery in term of fetus and mother. Although the study data neglecting the facts other skewed part in this issue is consideration of resources, as in developing countries, where maternal mortality is still high due to lack of adequate resources. Mother coming to obstetrician with mother's request should individualize in every case considering mother's argument, society and evidence base guideline.

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“…As evidências indicam também que gestantes com estatura abaixo de 150cm, idade nos extremos do ciclo reprodutivo, isto é, menor que 19 anos ou superior a 30 anos e gravidez gemelar ou com morbidades associadas requerem acompanhamento específico e frequente dos profissionais de saúde no âmbito dos programas de atenção à gestante, com o objetivo de evitar o desfecho inadequado da gravidez 2,[12][13][14][15] . Entende--se também que as gestantes na faixa etária de 19 a 30 anos com diagnóstico antropométrico pré-gravídico de eutrofia também merecem atenção especial dos programas de atenção pré-natal.…”

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Pirâmide alimentar para gestantes eutróficas de 19 a 30 anos

Demétrio

2010

Rev. Nutr.

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ObjetivoO objetivo deste estudo foi desenvolver uma pirâmide alimentar adaptada para as gestantes eutróficas na faixa etária de 19 a 30 anos, fundamentada nas diretrizes do guia alimentar para a população brasileira. MétodosA construção da pirâmide alimentar foi baseada em dois planos alimentares (2.188kcal referentes ao primeiro trimestre gestacional e 2.502kcal para o segundo e terceiro trimestres gestacionais) calculados segundo recomendações para esse grupo. ResultadosA distribuição percentual dos macronutrientes no plano alimentar proposto para o primeiro trimestre é de: 12% de proteínas, 62% de carboidratos e 26% de lipídeos. No segundo e terceiro trimestres gestacionais os percentuais obtidos são de: 11% para proteínas, 60% para carboidratos e 29% para lipídeos. As porções e os equivalentes foram estabelecidos a partir de adaptações do total energético de cada alimento obtido por Philippi et al. e disponível no guia alimentar para a população brasileira. Os alimentos estão organizados em oito grupos na pirâmide alimentar, independentemente do período gestacional, variando apenas a quantidade de porções recomendada. ConclusãoEspera-se que a pirâmide alimentar desenvolvida seja útil aos profissionais de saúde na atenção pré-natal, favoreça a orientação alimentar e nutricional e contribua para promover a adequação do estado de nutrição e saúde da gestante eutrófica, além de contribuir também para reduzir a ocorrência de baixo peso ao nascer, prematuridade e macrossomia. Termos de indexação:

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Maternal and Perinatal Outcome of Pregnancies after the Age of 45

Abstract: Women aged 45 years or more at delivery may expect a good pregnancy outcome but should expect a higher incidences of placental abruption, placenta previa, preeclampsia and caesarean delivery.

Cited by 34 publications

References 7 publications

Outcome of Pregnancy in Elderly Gravidae

Outcome of Pregnancy in Elderly Gravidae

Review of Cesarean Section on Maternal Request in a Tertiary Care Institute; Scenario in Developing Country

Pirâmide alimentar para gestantes eutróficas de 19 a 30 anos

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