PMID: 469694Jan 1, 1979Paper

Is the elderly primipara really at high risk?

Journal of Perinatal Medicine
M Blum

Abstract

During a five-year period, from 1970 through 1974, 26.776 deliveries occurred in our department, of which 55 (0.6%) were in elderly primiparae (EP). This group was compared with two control groups. The first comprised 97 women aged 30--34 years, and the second one, 250 women between 20 and 29 years of age. The parameters investigated were: The gynecologic past history, the course of the present pregnancy, labor, delivery and fetal outcome. In most of the cases, no significant differences were found between the EP group and the control groups. A striking difference was observed in the rate of cesarean sections, which was 49.1% in the EP group, as against only 2.3% in the age group 20--29 years. It may be concluded that by more liberal use of cesarean sections, available means of antenatal care, and prompt intervention in cases of postmaturity and prolonged labor, one can reduce the maternal and fetal morbidity and mortality, and that the EP, although a group at risk, has nowadays a better outlook for both mother and fetus.

References

Feb 15, 1975·American Journal of Obstetrics and Gynecology·I Morrison
Jul 15, 1968·American Journal of Obstetrics and Gynecology·R Mulcahy

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Citations

Nov 26, 1999·Social Science & Medicine·C S Meyer
May 1, 1985·American Journal of Obstetrics and Gynecology·D S KirzR K Freeman
Feb 1, 1987·American Journal of Obstetrics and Gynecology·G E RobinsonB Crawford
Jun 1, 1987·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M J BrassilD W MacDonald
Nov 5, 1999·Preventive Medicine·H S ScholzE Petru
Jan 25, 2014·Indian Journal of Psychiatry·Sarvada Chandra Tiwari
May 1, 1995·Pediatric Annals·C P Johnson

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