Pregnancy outcome in the elderly primigravidae

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
A O IlesanmiA Arowojolu

Abstract

We assessed the effect of advancing maternal age ( 35 years) on the outcome of pregnancy in first births among 50 elderly primigravidae compared with a control group of 50 younger primigravidae (20-29 years) at the University College Hospital Ibadan from 1 January 1988 to 31 December 1992. Most of the elderly primigravidae were professionals and the majority of them (68%) had involuntary infertility. Frequent hospital admissions, preterm delivery, low birth weights and very high caesarean section rates were the major problems highlighted in the elderly primigravidae, while anaemia was more frequent in the younger primigravidae. Unnecessary caesarean sections on the excuse of 'precious' baby in the elderly primigravidae should be discouraged bearing in mind its medico-social implications. It is concluded that although the elderly primigravidae may have higher rates of complications of pregnancy, delivery and neonatal deaths their overall risk of referral to special care baby unit is not appreciably increased.

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Citations

Oct 18, 2011·Archives of Gynecology and Obstetrics·B O Olusanya, O A Solanke
Feb 14, 2014·Annals of African Medicine·Adewale Samson AdeyemiAdeola Folasade Afolabi
Jan 13, 2006·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Sahin ZeterogluHuseyin A Sahin
Mar 6, 2012·International Journal of Oral and Maxillofacial Surgery·A OdhiamboF Were
Sep 2, 2005·Obstetrics and Gynecology·Howard L Minkoff, Richard Berkowitz

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