Adverse pregnancy outcomes among elderly Primigravida women at Al-Galaa Maternity Teaching Hospital

Sherif M. Safwat, General institute of teaching hospitals, Al-Galaa Maternity Teaching Hospital, EgyptFollow
Marwa R. Shahin, General institute of teaching hospitals, Al-Galaa Maternity Teaching Hospital, Egypt

Article Type

Original Study

Subject Area

Obstetrics and Gynecology

Abstract

Backgrounds: Pregnancy at advanced maternal age (AMA) is seen as a risk factor for poor maternal and perinatal outcomes. However, pregnancies with advanced maternal age have become more common in recent decades. This is attributable to increased employment options for women, a shift in gender norms, and improved reproductive medicine.

Objectives: Reviewing and assessment of the adverse pregnancy outcomes in elderly primigravida women compared to those with younger age.

Methodology: A case-control research study was conducted on patients who had attended for delivery at Al-Galaa Maternity Teaching Hospital during the period of one year from January 2022 to January 2023. The study included two groups, the Elderly group: aged 35 years and older as the study group, and the younger age group: aged 20-34 years as a control group. Comparisons were made in the maternal demographics, major antenatal complications, outcome of labor, mode of delivery, and perinatal complications.

Results: The Elderly had a higher incidence of medical disorders including PIH, Pre-eclampsia, and gestational diabetes when compared to the young group with a highly significant difference. Also, cesarean deliveries (CD) were found to be higher in the elderly group (41.3% vs 31.5.9%; P = 0.000) with a rising incidence in correlation with age. Moreover, placental problems including Placenta previa, retained placenta & placental abruption in addition to the obstetric complications including Perineal tear & postpartum hemorrhage, all showed a higher incidence in the elderly group as well. The elderly group showed an increased incidence of SGA and NICU regarding perinatal outcomes with a significant difference.

Conclusions: Elderly primigravida women should be considered high-risk pregnancies. They are at increased risk of maternal and perinatal complications.

IRB Number

HG000077

Keywords

Advanced maternal, Primigravidae, Obstetric outcome, Neonatal outcome

Recommended Citation

Safwat, Sherif M. and Shahin, Marwa R. (2024) "Adverse pregnancy outcomes among elderly Primigravida women at Al-Galaa Maternity Teaching Hospital," Journal of Medicine in Scientific Research: Vol. 7: Iss. 4, Article 6.
DOI: https://doi.org/10.59299/2537-0928.1407