PMID: 3609426Jun 1, 1987Paper

Obstetric outcome in first-time mothers aged 40 years and over

European Journal of Obstetrics, Gynecology, and Reproductive Biology
M J BrassilD W MacDonald

Abstract

This retrospective study examines the outcome of pregnancy after 28 weeks gestation in 100 consecutive, unselected primiparae who were aged 40 years or more. Antenatally, the incidence of hypertension was increased. There was an increased incidence of induction of labour and caesarean section. There were no maternal deaths and no evidence of an increase in maternal morbidity. After correction for congenital malformations, the perinatal mortality rate was not increased in these mothers. The incidence of Down's Syndrome was 4%, as expected. In general, the outcome of the pregnancy for the mother and her baby was satisfactory. Contrary to popular opinion, the results justify an optimistic approach to women about to become mothers for the first time in their forties, and the traditional high intervention rates may not be justified.

References

Jan 1, 1979·Journal of Perinatal Medicine·M Blum
Mar 1, 1977·Obstetrics and Gynecology·E O Horger, A R Smythe
May 1, 1985·American Journal of Obstetrics and Gynecology·D S KirzR K Freeman
Aug 1, 1981·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·E KujansuuR Tuimala

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Citations

Jul 1, 1993·Journal of Assisted Reproduction and Genetics·A Benshushan, J G Schenker
Sep 24, 2008·Archives of Gynecology and Obstetrics·Sarah K NabukeraRussell S Kirby
Jan 1, 1995·Obstetrics and Gynecology·M PrysakA Kisly
Oct 1, 1995·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Y EzraD Farine
Dec 16, 1998·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Y SmitP E Treffers
Nov 15, 2003·Journal of Clinical Epidemiology·Ilana F GareenDeidre Spelliscy Gifford
Sep 14, 2004·Gynecologic and Obstetric Investigation·F J Broekmans, E R Klinkert
May 21, 2015·Einstein·Evandro Eduardo CanhaçoReginaldo Guedes Coelho Lopes
Oct 2, 2004·Obstetrics and Gynecology·Bo JacobssonIan Milsom
Jun 21, 2007·The Journal of Obstetrics and Gynaecology Research·Sibylle KristensenKaren B Fowler
Feb 18, 1991·The Medical Journal of Australia·O JonasT Macharper

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