FOETOMATERNAL OUTCOME AMONG ELDERLY PREGNANT WOMEN ATTENDING A PERIPHERAL TEACHING INSTITUTION OF WEST BENGAL, INDIA- A PROSPECTIVE OBSERVATIONAL STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 17
Abstract
BACKGROUND Advances in assisted reproductive technology, delayed marriage and increase in the rate of divorce followed by re-marriage all lead to an increased number of women giving birth for the first time at the age of 35 years or more resulting in adverse maternal and foetal outcomes. Aims and Objective- To estimate various foetomaternal outcomes and their influencing factors among women aged 35 years or more. MATERIALS AND METHODS A prospective observational study was conducted in the Department of Gynaecology and Obstetrics of Bankura Sammilani Medical College and Hospital, Bankura from April 2014 to March 2015 involving total 100 elderly primi as study group and another 100 pregnant women below the age of 35 years as comparison group, selected randomly. Data was collected at the time of inclusion, during follow up visit in antenatal clinic and in the labour room, as well as post-natal ward and special neonatal care unit during and after delivery. Interview, clinical examination including anthropometry and record review were used for data collection via a predesigned questionnaire. RESULTS Significantly higher proportion of maternal and foetal mortality and morbidity was found among the participants belonging to the study group. Antenatal and intranatal complications were all increased in study group. Only, 3% maternal deaths were observed among study group. CONCLUSION The fact ‘delayed child bearing was associated with poor pregnancy outcome’ was reaffirmed even in this setting. These pregnancies need quality antenatal, intranatal, post-natal and perinatal care using sophisticated techniques like amniocentesis, chorionic villus biopsy and early and more frequent ultrasonography etc.
Authors and Affiliations
Suman Ranjan Dutta, Debdulal Mandal, Anirban Mandal, Dibakar Haldar, Nita Ray, Debilina Roy
Keywords
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- EP ID EP415136
- DOI 10.14260/jemds/2018/467
- Views 68
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