Obstetric performance in elderly Nigerian women: A comparative study

Ezechi, OC; Kalu, B K E; Loto, OM; Ezeobi, PM; Nwokoro, CA

doi:10.3126/njog.v2i1.1468

Cited by 4 publications

(5 citation statements)

References 13 publications

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“…Ezechi OC and associates in 2007 found the incidence of 9.1% in their study. 17 Awad Shehadeh, in his study rate of fibroid was 2.9% and authors found the rate of fibroid of 3.5% in our patients. 18…”

Section: Complications In Pregnancysupporting

confidence: 49%

Obstetric outcome in elderly gravida

Gaikwad

Chaudhari

Batheja

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Maternal age is an important determinant of the outcome of pregnancy. Advanced maternal age generally signify age after 35 years at the time of delivery. It is associated with decreased fertility and increased risk. Elderly gravida is associated with many complications during pregnancy, labour and also for the baby. In recent times women has changed their lifestyles such as pursuit of higher education and entry into work forces and career advancement outside the home.Methods: This was a retrospective study done in 57 elderly pregnant women more than 33 years age, over a period of 18 months, conducted in a multi-specialty hospital.Results: 57 elderly pregnant women were selected for the study. 47% were in age group of 33-35 years and 42% were in age group of 36-40 years. 61.40% patients were housewives and 38.59% were employed. 50.8% of patients had history of previous abortions and 35% were conceived after treatment for sterility. 64.9% of patients conceived spontaneously and 35% by assisted reproductive technology. Majority of patients (33.3%) required Invitro-fertilization. Multiple pregnancy was high- 21.05%. Hypertension was observed in 26.3% of patients, Antepartum haemorrhage in 4.34%, Preterm delivery 49.1%, Induction of labour in 10.52%, Normal vaginal delivery only in14%. Majority of patients (80.7%) were delivered by caesarean section.Conclusions: Elderly pregnant patients have higher risks of specific pregnancy complications which contribute to a higher frequency of maternal morbidity and greater health care costs. The risks are due to Hypertension, diabetes, multiple pregnancy, preterm labour, antepartum haemorrhage, PROM, malpresentation, prolonged labour, increased caesarean section rate and postpartum haemorrhage.

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Section: Complications In Pregnancysupporting

confidence: 49%

Obstetric outcome in elderly gravida

Gaikwad

Chaudhari

Batheja

2019

Int J Reprod Contracept Obstet Gynecol

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“…Other studies by Rana30 , Roudbari et al,25 Anand et al,31 Krammer 15 , Yilgwan et al,26 Kayastha et al,24 and Singh et al,6 also did not find statistical significance between mother's age and low birth weight babies. Whereas Badshah et al,28 Mondol22 and Ezechi et al,32 found significant association of maternal age with low birth weight babies.…”

mentioning

confidence: 93%

Prevalence of low birth weight babies and its association with socio-cultural and maternal risk factors among the institutional deliveries in Bharatpur, Nepal

2018

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Background: The low birth weight (LBW) is considered as sensitive index of nation’s health and development. Almost a third of the newborn in the South East Asia region is low birth weight. Over three- quarters of newborn deaths in Nepal occur in low birth weight babies. The causes of low birth weight are multi-factorial and birth weight is determined by the interaction of both socio-demographic and biological factors. Aims and Objective: To find out the prevalence of low birth weight babies among institutional deliveries and its association with socio-cultural and maternal risk factors. Materials and Methods: A hospital based cross-sectional study was undertaken comprising of 220 postnatal mothers along with singleton live born baby delivered in College of Medical Sciences and Teaching Hospital, Bharatpur, Nepal during the study period of April 2011 to March 2012. Binary logistic regression was used to find the association between dependent variable (LBW) and independent variables. Model accuracy test in binary logistic regression was done by using Hosmer and Lemeshow Test . To find the strength of binary logistic regression Pseudo R-square was used. Results: Out of 220 respondents, the prevalence of LBW was 23.6% (with 95% CI 21.88 to 25.32%). The risk factors like rest received in afternoon during pregnancy, dietary intake during pregnancy and period of gestation were found to be statistically significant. The odds of having LBW babies was 9.07 times higher in preterm births, 2.44 times higher among mothers who took afternoon rest of less than two hours and 3.44 times higher among those mothers who took dietary intake less or same as before during pregnancy. The variation in LBW due to these factors was found to be 22.9% to 34.4%. Conclusion: The prevalence of low birth weight was found to be significantly high among institutional deliveries of this region of the country. Socio-cultural and maternal risk factors like rest received in the afternoon during pregnancy, dietary intake during pregnancy and period of gestation were found to be significantly associated with low birth weight babies. The problem of low birth weight babies can be lessened down as most of these factors can be tackled easily by providing adequate and effective antenatal care services with its maximum utilisation as well as home care by emphasising upon education of mothers and family members, hence decreasing infant and child mortality rates.

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“…The third study was conducted in Lagos, Southern Nigeria. The study conclusively found that pregnancy of women aged 35 years and above women had an increased risk of cesarean section, operative vaginal deliveries, and a higher rate of pregnancy complication than those of younger women (10).…”

Section: Resultsmentioning

confidence: 86%

“…Notably, all studies tried to exclude multiple gestation and ART pregnancies from their study populations, enhancing the precision of their findings. Furthermore, a consistent finding across almost all studies was the significantly increased likelihood of cesarean delivery associated with AMA, particularly in elderly primigravida (Burodo & Umar;Ezechi et al, 2007;Uchenna et al, 2019). This pattern may be linked to the perception of pregnancies in advanced age as exceptionally valuable and high-risk, potentially leading to a preference for cesarean delivery over vaginal delivery.…”

Section: Summary Of Evidencementioning

confidence: 83%

“…Moreover, these studies often narrow their focus to nulliparous women experiencing AMA. Examining the prevalence of AMA across ethnic groups in Nigeria reveals variations, with rates ranging from 0.2% in the North (Burodo & Umar) to 1.79% in the West (Ezechi et al, 2007). However, these figures may be somewhat underestimated compared to the WHO general survey.…”

Section: Summary Of Evidencementioning

confidence: 94%

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Evaluation of the Relationship Between Advanced Maternal Age and Pregnancy Outcome: A Scoping Review

Eze,

Ezechi,

Mohammed

et al. 2024

Preprint

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Background Childbirth at advanced maternal age (AMA) is increasing among women, and some studies have shown adverse outcomes. There is a need to map evidence on the subject to harness findings and identify research gaps for further studies. This scoping review aims to examine pertinent studies on AMA and its impact on pregnancy outcomes. Methods The Preferred Reporting Item for Systematic Review and Meta-Analysis (PRISMA) chart is employed for systematic data extraction. This review draws from Google Scholar, the Cochrane Library, Medline (via PubMed), and Embase (via OVID). For inclusion in this scoping review, articles must thoroughly examine and elucidate the effects, impacts, and relationships between advanced maternal age and pregnancy outcomes. A crucial prerequisite is that the articles undergo a peer-review process to ensure the reliability and credibility of the presented information. For this review, advanced maternal age is defined explicitly as women aged ≥35. However, studies focusing on women aged ≥40 are also considered, mainly if they are high quality. In terms of research methodology, both primary and secondary research will be eligible, encompassing systematic reviews and meta-analyses. This broad inclusion aims to capture a comprehensive overview of the existing literature on the subject. Furthermore, articles must be presented in the English language to facilitate a standardized and accessible analysis. This criterion ensures that language barriers do not impede the review's ability to synthesize relevant information effectively. Results There are significant associations between advanced maternal age and poor pregnancy outcomes, even when adjusted for confounders. Conclusions The adverse pregnancy outcome due to maternal age alone may be due to placental dysfunction resulting from a relative deficiency in maternal cardiovascular adaptations to pregnancy, and this provides a window for further studies

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Obstetric performance in elderly Nigerian women: A comparative study

Cited by 4 publications

References 13 publications

Obstetric outcome in elderly gravida

Obstetric outcome in elderly gravida

Prevalence of low birth weight babies and its association with socio-cultural and maternal risk factors among the institutional deliveries in Bharatpur, Nepal

Evaluation of the Relationship Between Advanced Maternal Age and Pregnancy Outcome: A Scoping Review

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