Comparative Study of Maternal outcome of Pregnancy in Elderly Primi with Younger Primi
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2018, Vol 6, Issue 1
Abstract
Aim: The study was conducted to determine the pregnancy and labour characteristics and new born outcomes in nulliparous women at age 30 and older. Methodology: It is a prospective longitudinal study conducted in the department of OBG in Yenepoya Medical College, Mangalore. Primigravidae 30 years and older (study group) in labour were compared with another group of women 25-29 years (control group) in labour. Intrapartum data collected were presentation, onset of labour spontaneous or induced, progress of labour, type of delivery vaginal or caesarean delivery and incidence of meconium staining were recorded. Chi square test was used for comparison of data. P=0.05 was considered statistically significant. Results: The rate of spontaneous vaginal delivery was 58% and casesarean section was 42% among the study group and among the control were 66% and 28%. Incidence of preterm birth among study group was 24% and in control group was 8%. Factors such as PIH, gestational diabetes, chronic hypertension, third trimester bleeding, caesarean section were higher in the study group. Conclusion: The study confirms that pregnancy and delivery at age 30 years and older poses increased risks of antepartum and intrapartum complications.
Authors and Affiliations
Reena D’souza
Analytical Study of Indications of Cesarean Section in a Tertiary Medical College, Sivagangai, Tamilnadu
Background: There has been an increase in rate of cesarean section over last few decades. There are various factors involved in the rise of rate of cesarean section. There has been an increase in primary cesarean section...
Hypertensive Disorders in Pregnancy: Role of Platelet Indices
Introduction: The present study aimed to assess whether changes in platelet indices, during pregnancy could be used as markers for prediction of development of hypertensive disorders of pregnancy. Methods: A total of 255...
Hysterectomy in the Intellectually Disabled Girl – From the Perspective of Indian Mothers
Introduction: The practice of hysterectomy in intellectually disabled individuals has raised a lot of controversy in both the medical fraternity and the general public. The request comes from the primary caregivers mostl...
Maternal and Foetal Outcomes in Gestational Hypertension
Background: Gestational hypertension is usually defined as having a blood pressure higher than 140/90 measured on two separate occasions, more than 6 hours apart, without the presence of protein in the urine and diagnose...
A Comparative Study of Inj. hCG & Inj.17- α Hydroxyprogesterone Caproate in Cases of Threatened Abortion
Aim: To determine the efficacy and safety of Depot 17-α hydroxyprogesterone caproate and Human chorionic gonadotropin (hCG) in the management of threatened abortion. Setting and Design: This is a prospective comparative...