Obstetric and Perinatal Outcomes in Women ≥40 Years of Age: A Retrospective Study About 421 Cases in Mahdia
Keywords:Advanced maternal age, Perinatal outcomes, Pregnancy complications
OBJECTIVES: All this study is aimed to evaluate obstetrical and neonatal outcomes among women age 40 years and older.
STUDY DESIGN: Among 9962 women who delivered in Mahdia’s hospital between January 2015 and December 2016, 421 women (4.22%) were 40 years old or older at the time of delivery. Our retrospective study included 421 pregnant women aged more than 40 years and 421 controls aged 18-39, stratified to parity. Data were analyzed using Pearson’s χ22 test.
RESULTS: The mean age of the case group was 41.32 years and that for the control group was 31.25 years. Preeclampsia and diabetes were the most common pathologies (p=0.01), the mode of delivery was marked by a high rate of cesarean section. The rate of instrumental extractions was not influenced by age. The rate of neonatal admission and 10-minute Apgar Scores<7 were significantly higher in the older group (p<0.05). The rate of abruption placenta, placenta previa, postpartum hemorrhage, and stillbirth were increased in mothers over 40 years but there was no difference statically.
CONCLUSION: Based on findings, maternal age over 40 years is associated with a high rate of obstetrical, medical complications and cesarean section deliveries. Better pregnancy monitoring helps to improve this risky situation.
How to Cite
Copyright (c) 2020 Soumaya Kraiem, Leila Souilem, Dhekra Toumi, Haifa Bouchahda
This work is licensed under a Creative Commons Attribution 4.0 International License.
All the articles published in GORM are licensed with "Creative Commons Attribution 4.0 License (CC BY 4.0)". This license entitles all parties to copy, share and redistribute all the articles, data sets, figures and supplementary files published in this journal in data mining, search engines, web sites, blogs and other digital platforms under the condition of providing references.