Maternal and early neonatal outcome among the elderly pregnant women delivered in a tertiary care hospital
Keywords:Elderly pregnant women, maternal and neonatal outcome
Background: Elderly primigravida is defined as women thirty five years of age or above who is pregnant for the first time. The advancement in the artificial reproductive technology have played an important part in delaying the pregnancy. Maternal age is no longer only important factor in women wishing for conception. Nevertheless, the increased fetomaternal complication and consideration as a high risk leading to early intervention among these age group is of concern. Many women who wish to get pregnant on and after the age of 35 years are not fully aware of age-related decrease of fertility rate in female and the risk associated with this. Methods: This was institution based, observational descriptive study. Study was conducted at Bankura Sammilani Medical College & Hospital from May 2019 to October 2020 including 106 elderly pregnant women. Thorough history taking and clinical examination was done. Template was generated in MS excel sheet and analysis was done on SPSS software. Results: Among 106 elderly pregnant women 83 (78.30%) were 35 – 37 yrs. of age group. Cause of delay in pregnancy of 42 (39.62%) was unknown. Whereas only 3 (2.83%) mothers’ cause of delay in pregnancy was Infertility. Mean value of gestational age of participants was 37.78. Mode of delivery of 55 (51.89%) was normal. Most of the new – born 101 (92.66%) have born lively whereas 8 (7.34%) new – born were stillborn. Most of the new – born i.e. 45(41.28%) out of 106 were LBW whereas only 5 (4.59%) new – born were IUGR. Conclusions: The elderly mothers with age more than 35 have increased risk during pregnancy and perinatal period. The role of the married couple and family is very important who should be discouraged for late marriage and late pregnancy.
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Copyright (c) 2021 Anirban Mandal, Kajal Kumar Patra, Manojit Mandal, Dipanwita Sen
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