Title: Foetal and Neonatal Outcome in Elderly Mothers aged 35 Years and above: Comparative Study
Authors: Neerja Singal, Geetanjali Setia, Kiran Kumar Singal
DOI: https://dx.doi.org/10.18535/jmscr/v5i8.57
Abstract
Introduction: Many women increasingly delay pregnancy and childbirth into their later decades of life because of different reasons, such as delay in marriage, educational and professional reasons. Advanced maternal age has been regarded as adverse foetal and neonatal outcome in pregnancy.
Objective: This study is aimed at comparing the foetal and neonatal outcomes of pregnancy in women aged 35 years and above.
Methods: Prospective comparative observational study was done over a period of 2 year at the M.M. Medical College & Research Centre, Mullana, Ambala (Haryana) India.
Forty pregnant women of age 35 years and above at any gestational age were taken into the study population irrespective of the parity. Forty control population was pregnant women of age 20-34 years of any parity.
Results: The incidence of low APGAR score at minutes, foetal complications, birth asphyxia, admission to NICU was found to be higher in the study group.. This study did not find any significant difference in mean gestation age, mean birth weight in elderly women. No foetal malformations were seen in both the groups.
Conclusion: Pregnancy in older women seem to have more adverse foetal and neonatal outcome .Women should be informed that the risk of adverse foetal and neonatal outcome increases with age.
Keywords: maternal age, foetal malformation, foetal and neonatal outcome.
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