Do primiparas aged 40 years or older carry an increased obstetric risk?

Preventive Medicine
H S ScholzE Petru

Abstract

It is unclear whether older primiparas are at increased risk for complications of pregnancy other than an increased cesarean section rate. The aim of this study was to compare the rate of complications of pregnancy and delivery of primiparas aged 40 years or older with those of primiparas aged 20 to 30 years. We reviewed the maternal and neonatal hospital records of 59 consecutive primiparas aged 40 years or older who delivered at our institution between 1986 and 1995. A total of 118 primiparas aged 20 to 30 years who preceded and followed the cases served as controls. The mean duration of gestation was significantly shorter in primiparas > or = 40 years of age. Induction of labor was more common and the cesarean delivery rate was higher (47 vs 12%) in older primiparas. The mean birth weight was significantly lower in the offspring of the cases. The perinatal mortality rate was 5% in the primiparas over 40 years and 0% in the control group; fetal malformations were found in 5% (vs 1%) of the children of older primiparas. In our series, older primiparas were at increased risk for prematurity, preeclampsia, and perinatal mortality. The high rate of cesarean section in older primiparas is due mainly to a higher incidence of obstet...Continue Reading

References

Jan 1, 1979·Journal of Perinatal Medicine·M Blum
Apr 1, 1987·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·I BlicksteinI Kessler
Jun 1, 1997·American Journal of Obstetrics and Gynecology·J R BartonB M Sibai

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Citations

Oct 11, 2005·Health Care for Women International·Christine V Newburn-Cook, Judee E Onyskiw
Jun 21, 2007·Health Care for Women International·M Carolan, S Nelson
Sep 14, 2004·Gynecologic and Obstetric Investigation·F J Broekmans, E R Klinkert
Jul 16, 2009·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·C TabcharoenO Krisanapan
Dec 31, 2014·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·Rossana Mariana Carvalho de Paiva MarquesMelania Maria Ramos Amorim
Sep 9, 2006·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Karen BenziesChristine Newburn-Cook
Oct 22, 2008·Taiwanese Journal of Obstetrics & Gynecology·Bahia Namavar Jahromi, Zahra Husseini
Nov 23, 2006·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Ilse DelbaereMarleen Temmerman
Apr 22, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·S ParanjothyJ Thomas
Oct 5, 2010·Birth·Hamideh Bayrampour, Maureen Heaman
Sep 18, 2014·Archives of Gynecology and Obstetrics·Michael S SchimmelDeborah Elstein
Nov 4, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Fatma Cakmak CelikYuksel Bek
Nov 20, 2002·MCN. the American Journal of Maternal Child Nursing·Paula A ViauBarbara Eddy

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