Outcome of pregnancy in elderly nulliparous women: A comparative study
Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 4, Issue 3
Abstract
Aim: The study was conducted to determine the pregnancy and new born outcomes in nulliparous women at age 30 and above. Methodology: It is a prospective longitudinal study conducted in the department of OBG in Yennopya Medical College, Mangalore. Elderly nulliparous women aged 30 years and above (study group) in labour were compared with another group younger nulliparous women below 30 years (control group) in labour. Intrapartum data collected were mode of delivery, incidence of meconium staining and fetal outcome. 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 72% and 28% in control group. The gestational age of the newborn showed that 75% of the babies were term and 25% of babies were preterm in study group, compared to 92% term babies and 8% preterm in control group. This difference was statistically significant Conclusion: Older pregnant women should be encouraged for early, regular antenatal checkup and also advised to deliver in a well equipped hospital, with competent obstetrician, neonatologists and anaesthesiologist.
Authors and Affiliations
Reena D’souza, Smitha B Rao, Anamika Singh
Keywords
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