Stručni rad
FOLLOW UP AND PREGNANCY OUTCOME IN OLDER CHILDBEARINGIN AN AREA OF SPECIAL STATE CARE
Vjekoslav Krpina
Hrvoje Krpina
Sažetak
Objective. The aim of the study was to identify some factors that could affect the course and outcome of pregnancy in older childbearing women in the areas of special welfare. Methods. The pregnancy records, discharge certifi-cates and release certificates of newborns were analyzed. Results. In the period of 1999–2000 there were 335 deliveries. Among them there were 36 (10.7%) gravidas aged over 37 years: 6 primiparas (I-paras) and 30 multiparas (M-paras). There were 26 (72.2%) women in the 37–40 age group, 9 (25.0%) in the 41–44 age group and only 1 (2.8%) woman aged over 45. The average number of examinations was 6.4: 8.1 for I-paras and 6.1 for M-paras. The average number of ultrasound examinations was 3.3: 3.5 for I-paras and 3.2 for M-paras. The average weight-gain during pregnancy was 13.5 kg: 14.5 for I-paras and 13.3 kg for M-paras. Early amniocentesis was performned in 5 (13.9%) patients. The pregnancy was completed by cesarean section in 6 (16.7%) cases: 4 times in I-paras and 2 times in M-paras. Only 1 (2.6%) delivery was completed by vacuum extraction. There were 29 (80.55%) spontaneous deliveries: 1 in primiparas and 28 in multiparas. Most (27) of newborns were in the 2500–3999 grams birth-weight group: 1 newborn was in the 2000–2499 grams group and 8 newborns in the 4000 grams group. Out of older childbearing women 33 (92%) had primary or secondary school education and only 3 (8%) academic education. Twelve (33.3%) were employed and 24 (66.6%) unemployed. The ratio of employed and unemployed was 1:2 in I-paras and M-paras. There were 4 (11.1%) preterm deliveries: 2 in I-paras and 2 in M-paras. Perinatal mortality was 27.8‰, 1 newborn died in the M-paras group. Conclusion. The results of the control and of the outcome of pregnancies in older childbearing women in the areas of special welfare are identical to the results in the literature, except that a small number of early amniocenteses were performed.
Ključne riječi
older childbearing women; antenatal care; pregnancy outcome
Hrčak ID:
15525
URI
Datum izdavanja:
1.6.2003.
Posjeta: 2.108 *