The perinatal and maternal outcome in pregnancy with advanced maternal age 35 years and &gt;35 years

Kalewad, Pallavi S.; Nadkarni, Trupti

doi:10.18203/2320-1770.ijrcog20161693

Cited by 6 publications

(8 citation statements)

References 2 publications

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“…CS delivery was revealed to be higher in advanced age group which had concurrence with observation made by Katwijk C V et al in their review that the older gravida also has a higher chance of being delivered by CS. 13 The present study didn't reveal any significant difference between the groups in regard to PIH, eclampsia but preeclampsia contrary to the findings of Pattnaik L et al 12 Liux et al 14 and Khalewad P S et al 15 who reported higher incidence of hypertensive disorders was lower.…”

Section: Discussioncontrasting

confidence: 95%

“…There was no statistically robust difference in APGAR scores across the groups, but there was an increased incidence of IUGR babies in the study group, which is similar to those reported by Pattnaik 12,15,20,21 Contrary to the findings of this study, an increased number of SNCU admissions in older women was observed by Pattnaik L et al, Bahtiyar M O et al, Jacobson B et al and particularly a large study done by I-Jan Hu. 12,[22][23][24] The present study revealed no difference between groups in regard to still birth rate, however, as reported by Pattnaik L et al 12 and by a large study done by I Jan Hu et al 24 , the still birth percentage was significantly higher in the older women due to increased incidence of medical and obstetrical conditions complicating the pregnancy.…”

Section: Discussionsupporting

confidence: 87%

“…However, Pandit S et al observed no such trend. 18 Oligohydramnios was present in significantly higher proportion of advanced age women as was also reported by Pattnaik L et al 12 Khalewad P S et al 15 in 2016 and Antsaklis A et al in January 2013. 19 However, contrary to the findings of Pattnaik L et al 12 , malpresentation wasn't found more among the elderly group of pregnant women.…”

Section: Discussionmentioning

confidence: 59%

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Foetomaternal Outcome Among Elderly Pregnant Women Attending a Peripheral Teaching Institution of West Bengal, India- A Prospective Observational Study

Dutta¹,

Mandal²,

Mandal³

et al. 2018

jemds

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BACKGROUND Advances in assisted reproductive technology, delayed marriage and increase in the rate of divorce followed by re-marriage all lead to an increased number of women giving birth for the first time at the age of 35 years or more resulting in adverse maternal and foetal outcomes. Aims and Objective-To estimate various foetomaternal outcomes and their influencing factors among women aged 35 years or more. involving total 100 elderly primi as study group and another 100 pregnant women below the age of 35 years as comparison group, selected randomly. Data was collected at the time of inclusion, during follow up visit in antenatal clinic and in the labour room, as well as post-natal ward and special neonatal care unit during and after delivery. Interview, clinical examination including anthropometry and record review were used for data collection via a predesigned questionnaire. RESULTSSignificantly higher proportion of maternal and foetal mortality and morbidity was found among the participants belonging to the study group. Antenatal and intranatal complications were all increased in study group. Only, 3% maternal deaths were observed among study group. CONCLUSIONThe fact 'delayed child bearing was associated with poor pregnancy outcome' was reaffirmed even in this setting. These pregnancies need quality antenatal, intranatal, post-natal and perinatal care using sophisticated techniques like amniocentesis, chorionic villus biopsy and early and more frequent ultrasonography etc.

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Section: Discussioncontrasting

confidence: 95%

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 59%

See 1 more Smart Citation

Foetomaternal Outcome Among Elderly Pregnant Women Attending a Peripheral Teaching Institution of West Bengal, India- A Prospective Observational Study

Dutta¹,

Mandal²,

Mandal³

et al. 2018

jemds

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“…Incidence of NICU admission in our study was 29.3% comparable to study at Nowrosjee Wadia maternity hospital, Parel, Mumbai which had incidence of NICU admission as 33%. 10 Most of the admissions in NICU were due to preterm deliveries and low birth weight (44.44%) which is also the indication in many other studies.…”

Section: Discussionmentioning

confidence: 80%

“…16 Study conducted in Nowrosjee Wadia maternity hospital, Parel, Mumbai had incidence of preterm delivery as 23.7% and low birth weight baby as 42.8% which is higher than our study. 10 Our centre being situated in western Mumbai with majority of cases from middle or upper socio-economic status and they being educated, had frequent antenatal check up with early detection and treatment of any pregnancy complication, the pregnancy and fetal outcomes were better as compared to other studies.…”

Section: Discussionmentioning

confidence: 93%

Perinatal and maternal outcome in advanced maternal age, more than or equal to 35 years: a prospective observational study

Prasad

Madhavth

2021

Int J Reprod Contracept Obstet Gynecol

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Background: As there is increasing trend with pregnancy being delayed due to various reasons, this topic was studied so as to help patient and health care provider know the effect of advanced age on pregnancy and its outcome both related to mother and fetus. The objective of the study was to evaluate maternal and perinatal outcome in advanced maternal age in terms of fetal outcome, maternal outcome and labour outcome.Methods: 102 pregnant patients of age 35 years and more over 1 year from November 2015 to October 2016 in Holy family hospital, Bandra, Mumbai.Results: Incidence of hypertensive disorders, malpresentation, rate of conception on treatment and caesarean section is more in advanced maternal age.Conclusions: A proper pre-conceptional consultation and intensive antenatal care assessment can reduce the risks in advanced maternal age pregnancy.

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Maternal nutrition intervention focused on the adjustment of salt and sugar intake can improve pregnancy outcomes

Seo

Jeong

Koo

et al. 2020

Food Science & Nutrition

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Due to the increasing age of pregnant women, maternal nutrition management is becoming more important. Since pregnant women are more likely to consume sodium and sugars than nonpregnant women of the same age, we investigated whether maternal nutrition intervention focused on the adjustment of salt and sugar intake can help pregnancy outcome. This randomized controlled trial was performed on 142 pregnant women within 22 weeks of gestational age for at least 16 weeks until childbirth. Subjects were unequally assigned to the intervention group ( n = 98) and the control group ( n = 44). Dietary changes based on perceived taste preferences were evaluated by 24‐hr dietary recall and food frequency questionnaires (FFQ) at pre‐ and postintervention. In the intervention group, while the intakes of energy, protein, and vitamins were maintained, the intakes of sodium ( p < .001) and sugar from processed food ( p < .05) were significantly reduced after the intervention. The decreases in salt and sugar consumption were more pronounced in the mothers who had a high preference for saltiness and sweetness. The mean neonatal birth weight of the intervention group was significantly greater than the weight of control group, (3,251.5 ± 402.2 g vs. 2,974.5 ± 294.8 g, p < .05). Through this study, nutrition intervention was found to be effective for the formation of healthy eating habits such as reduced salt and sugar intake in pregnant women especially with a high preference for saltiness and sweetness. Also, such specialized maternal nutrition intervention during pregnancy promotes the birth of healthy newborn babies of normal weight.

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The perinatal and maternal outcome in pregnancy with advanced maternal age 35 years and >35 years

Cited by 6 publications

References 2 publications

Foetomaternal Outcome Among Elderly Pregnant Women Attending a Peripheral Teaching Institution of West Bengal, India- A Prospective Observational Study

Foetomaternal Outcome Among Elderly Pregnant Women Attending a Peripheral Teaching Institution of West Bengal, India- A Prospective Observational Study

Perinatal and maternal outcome in advanced maternal age, more than or equal to 35 years: a prospective observational study

Maternal nutrition intervention focused on the adjustment of salt and sugar intake can improve pregnancy outcomes

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