Izvorni znanstveni članak
https://doi.org/10.3325/cmj.2021.62.130
The effect of parity on obstetric and perinatal outcomes in pregnancies at the age of 40 and above: a retrospective study
Simten Genc
; University of Health Science, Okmeydani Training and Research Hospital, Obstetrics and Gynecology Department, Istanbul, Turkey
Cagdas N. Emeklioglu
; University of Health Science, Okmeydani Training and Research Hospital, Obstetrics and Gynecology Department, Istanbul, Turkey
Basak Cingillioglu
; University of Health Science, Okmeydani Training and Research Hospital, Obstetrics and Gynecology Department, Istanbul, Turkey
H. Turhan Ozkan
; University of Health Science, Okmeydani Training and Research Hospital, Obstetrics and Gynecology Department, Istanbul, Turkey
Veli Mihmanlı
; University of Health Science, Okmeydani Training and Research Hospital, Obstetrics and Gynecology Department, Istanbul, Turkey
Sažetak
Aim To examine the characteristics of pregnancies at a
very advanced maternal age and the effect of parity on adverse obstetric outcomes.
Methods We retrospectively reviewed the records of
women who gave birth at the Obstetrics and Gynecology
Department of Okmeydanı Training and Research Hospital
between January 2012 and December 2019. Overall, 22 448
of women were younger than 40 and 593 were aged 40
and older. Women aged 40 and older were divided into the
primiparous (52 or 8.77%) and multiparous group (541 or
91.23%).
Results Significantly more women aged 40 and older
had a cesarean section. The most common indications for
a secondary cesarean delivery in both age groups were
a previous cesarean procedure or uterine operation. The
most frequent indication for primary cesarean section in
both groups was fetal distress. Cesarean section rates due
to non-progressive labor, fetal distress, and preeclampsia
were significantly more frequent in primiparous women
compared with multiparous women aged 40 and older.
In primiparous women, fetal birth weight was lower and
preeclampsia/gestational hypertension frequency were
higher.
Conclusion Since primiparity was a risk factor for lower
fetal birth weight and preeclampsia/gestational hypertension in the age group of 40 years and above, more attention should be paid to the follow-up and treatment of
these patients
Ključne riječi
Hrčak ID:
278054
URI
Datum izdavanja:
29.4.2021.
Posjeta: 738 *