Pregnancy outcome at age 40 and older

Ziadeh, S; Yahaya, Anas Ibrahim

doi:10.1007/s004040000122

Cited by 131 publications

(106 citation statements)

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“…These findings were in accordance with similar findings showed in study done by Jolly M [15] in which incidence of abruptio placenta, preterm labour in the study group were (0.63%, 1.58%) respectively while in the control group were (0.45%, 1.03%) respectively, similar finding showed byZiadeh S [13] study.…”

Section: Discussionsupporting

confidence: 92%

“…In this study the mean birth weight in study group (3.06 + 0.67) Kg which was significantly lower than control group (3.39+ 0.33) Kg these findings in accordance to the study done by Ziadeh S [13] who showed mean birth weight in his study group (3.21 + 0.5) Kg which was significantly lower than control group (3.32+ 0.1) Kg, Jahromi BN [15] also found similar result in his study. In present study, mean APGAR score at 5 th minute in this study group was (8.42 + 1.14) and in control group was (8.46 + 0.62) the difference was statistically not significant (P > 0.05), this is in contrast to studies done by JahromiBN [15] and Berkowitz [4] who showed the incidence of APGAR score at 5 th minute significantly lower in the older women.…”

Section: Discussionsupporting

confidence: 92%

“…This finding was also showed in Hoffman MC [14] study which revealed the rate of PIH in the study group (9.3%) while in the control group (6.9%), this was in accordance with a similar reports from Jahromi BN [15] , Ziadeh S [13] .…”

Section: Discussionsupporting

confidence: 91%

“…The mean gestational age in this study was significantly lower in the study group (37.4 + 2.0) weeks than control group (38.4+ 1.7) weeks which was statistically significant and was approximately resemble the results of study done by Ziadeh S [13] ,who showed in his study the mean gestational age (39.1 + 0.4) weeks in the study group which was significantly lower than control group (39.4 + 0.04) weeks, while Hoffman MC [14] showed in his study the gestational age similar in both groups (39.0 + 3.5) weeks. Mean gravidity in this study was (4.51 + 2.8) which was higher than control group (2.1 + 0.7), this was accordance with a similar report from Hoffman MC [10] study which include mean gravidity in the study group (4.0 + 2.8) and (2.0 + 1.7) in the control group.…”

Section: Discussionsupporting

confidence: 88%

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Pregnancy Outcome in Ladies Aged 40 Years and Above

Mohammed¹

2016

ijSciences

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Many women today are delaying childbearing until the fourth decade of life. The reasons for these delays are multiple and include pursuance of professional careers and delaying of marriage. To study the impact of the maternal age on pregnancy outcome in ladies ≥40 years old. This is a prospective observational case control study conducted at Sulaimania Maternity Teaching Hospital. Time of data collection was from 1 st of December 2013 to the 1 st of June 2014. A total of 300 women were included in the study, 150 cases aged 40 and above as a study group and 150 cases aged 20-29 as a control group, these cases were collected from labour room and operative theatres. All the women included in the study, gave verbal consent and the following informations were obtained by questionnaire forms : Age, parity, gestational age of her pregnancy by LMP and US, any complications during pregnancy like PET, GDM, PIH, PROM, APH, PPH, past medical history, past surgical history and obstetrical history has been also recorded.Duringlabour fetal heart rate monitoring was done with intermittent auscultation by sonic aid only, if meconium detected in the liquor or any fetal HR abnormality then continuous (FHR) monitoring was done until delivery. Mode of delivery by vaginal delivery (normal or operative vaginal delivery) or by caesarean section and its indications were also recorded. After discharge from NCU and hospital, follow up of the babies for one month was done by phone calling of the family of the baby and asking about his/her health and if developed any complications or readmitted again to hospital these information also were recorded.A total of 150 cases aged from 20-29 women were enrolled in the study as a control group and 150 cases aged 40 and more were enrolled as a study group. Mean gestational age of the study group was 37.4 + 2.0 weeks and 38.4 + 1.7 weeks in the control group, the difference was statistically highly significant, P<0.01. Gestational diabetes, preeclampsia, placenta abruption were significantly higher in the study group (26.0%, 45.3%, 8.7%, respectively) compared to control group (11.3%, 16.0%, 1.3% respectively). Caesarean deliveries were high (61.3%) in the study group and it was much higher with history of previous caesarean (48.9%). Incidence of PPH was higher in the study group (30.7%) compared to (16.0%) in control group. APGAR at fifth minute was approximately similar in both groups and statistically was not significant. Admission to neonatal care unit NCU was (50.7%) in study group compared to (16.0%) in control group. Neonatal mortality was high (1.3%) in study group than control group(0.0%).Study conclude Women aged 40 years and above have increased risk of complications during pregnancy and they have a higher risk of operative delivery. Despite of these complications and increased of maternal morbidity in the older women, the overall neonatal outcome did not appear to be affected.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 88%

See 2 more Smart Citations

Pregnancy Outcome in Ladies Aged 40 Years and Above

Mohammed¹

2016

ijSciences

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show abstract

“…The association between advanced maternal age and increased risk of chromosomal abnormalities and spontaneous abortion has been well documented in studies 2,22 .…”

Section: Introductionmentioning

confidence: 94%