Obstetric and Perinatal Outcomes in Women ≥40 Years of Age: A Retrospective Study About 421 Cases in Mahdia

Authors

DOI:

https://doi.org/10.21613/GORM.2019.912

Keywords:

Advanced maternal age, Perinatal outcomes, Pregnancy complications

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.

Downloads

Download data is not yet available.

Author Biographies

Soumaya Kraiem, university of medecine of Monastir

Department of gynecologi and obstetrics of Mahdia

Leila Souilem, university of medecine of Monastir

Department of gynecologi and obstetrics of Mahdia

Dhekra Toumi, university of medecine of Monastir

Department of gynecology and obstetrics of Mahdia

Haifa Bouchahda, university of medecine of Monastir

Department of gynecology and obstetrics of Mahdia

Downloads

Published

2020-12-25

How to Cite

1.
Kraiem S, Souilem L, Toumi D, Bouchahda H. Obstetric and Perinatal Outcomes in Women ≥40 Years of Age: A Retrospective Study About 421 Cases in Mahdia. Gynecol Obstet Reprod Med [Internet]. 2020Dec.25 [cited 2021Jan.25];26(3):188-91. Available from: https://gorm.com.tr/index.php/GORM/article/view/912

Issue

Section

Obstetrics; Maternal Fetal Medicine and Perinatology