Paper Information

Journal:   JOURNAL OF GUILAN UNIVERSITY OF MEDICAL SCIENCES   SUMMER 2007 , Volume 16 , Number 62; Page(s) 42 To 47.
 
Paper: 

STUDY OF PREGNANCY OUTCOMES IN OLD PRIMIPAROUS WOMEN

 
 
Author(s):  FARAJI DARKHANEH R.*, ASGHARNIA M., ZAHIRI Z.
 
* 
 
Abstract: 

Introduction: In recent years, the number of women who delivered their first child at the age of 35 years and over has increased due to educational, economic and occupational reasons. Understanding the unfavorable pregnancy outcomes in women who delay the birth of their first child is very important. This knowledge is essential both for mothers and their care givers because knowledge on these pregnancies can be effective in improvement of pregnancy care for these women and for reduction of the adverse outcomes or for their early treatment.
Objective: Investigate the pregnancy outcomes among the 35-year-old primiparous women who were covered by a national program and compare the statistics obtained in this study with available statistics in the articles and studies in other communities.
Materials and Methods: In this retrospective descriptive study 500 primiparous women's records who were at the age of 35 and older were assessed to determine the percentage of relative frequency of the associated factors such as Hypertension, Diabetes, Preterm delivery, Low Birth Weight, Placenta Abruption, and Placenta Previa and Still Birth. Sampling method was based on the census .All pregnant women aged 35 and older who referred to Alzahra Maternity Hospital in Rasht for delivery of their first baby in a period of  5 years (1997-2002) were included. Multiple pregnancies were excluded. Also, the imperfect records were put aside.
Results: The percentage of the investigated complications in primiparous women aged 35 and older was obtained as follows Hypertension 15.8%±3.1, Low Birth Weight 13.2%±3, Diabetes 3.6%±1.6, Placenta Abruption 2.8%±1.4, Still Birth 2.4%±1.3, Pre-term delivery 13%±2.9 and Placenta Previa 1.6%±1.1 .
Conclusion: Results showed that the percentage of complications in primiparous women aged 35 and over was higher as compared with the statistics mentioned in text books for the ordinary population. Also, comparison of the finding of this study with some similar studies in the country indicated the increase in relative frequency rate of hypertension in old women. No significant difference was found in the relative frequency of Placenta Previa, Diabetes, Pre-term Delivery and Still Birth. Since many complications of this sort are preventable or curable by good prenatal care, it is recommended that the older pregnant women be take care carefully during pregnancy.

 
Keyword(s): MATERNAL AGE 35 AND OVER, PARITY, PREGNANCY, HIGH RISK
 
References: 
  • ندارد
 
  Persian Abstract Yearly Visit 53
 
Latest on Blog
Enter SID Blog