Perinatal Outcomes in Advanced Age Pregnancies

Yıl 2016, , 157 - 162, 16.06.2016

Ertuğrul Yılmaz

https://doi.org/10.5799/ahinjs.01.2016.02.0589

Öz

Objective: The aim of this study is to evaluate the impact of advanced maternal age on pregnancy outcomes

Methods: A retrospective analysis of 951 birth
registry records of Zeynep Kamil Hospital, were analyzed between
Janu­ary 2003 and December 2007. Study group was made up of women ≥40
years old and control group was made up of women younger than 40 years.

Results: Mean maternal age was 41.48 years in the
study group and 26.41 years in the control group. Mean gesta­tional age
at the time of delivery is 37.73 weeks in study group and 38.10 weeks in
the control group. There was no statistical difference in terms of
preterm delivery, multiple pregnancy, fetal anomaly, IUGR, superimpose
preeclampsia oligohidramnios, presentation anomaly and placenta previa
rates between the study and control groups. Incidence of preeclampsia
(p=0.041), Chronic hypertension (p=0.001), GDM (p= 0.003),is found to be
higher in study group. Cesar­ean birth rate is higher (p<0.05) and
hospitalization time is longer in study group (p=0.001). 1st minute and
5th minute APGAR scores of the study group (6.99±2, 8.27±2) was lower
than the 1st minute and 5th Minutes APGAR scores of the control group
(7.38±1.6, 8.58±1.7). Neonatal intensive care unit administration rate
is seen also higher in study group (p<0.01).

Conclusion: Advanced maternal age was related to
increased pregnancy complications and poor perinatal outcome.
Preeclampsia, GDM, chronic hypertension is seen more common in advanced
age pregnancies. Neonatal intensive care administration is higher and
APGAR scores are lower; cesarean delivery was performed more common, and
hospitaliza­tion time was longer in advanced age pregnancies. J Clin Exp Invest 2016; 7 (2): 157-162

Anahtar Kelimeler

perinatal outcome, advanced age pregnancy, pregnancy outcome

Kaynakça

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