Pregnancy outcome in nulliparous women at age >35 in comparison to younger nulliparous women

Panagopoulos, P. and Economou, A. and Tagia, Marianthi and Siropoulos, N. and Doulia-Anagnostaki, P. and Katsetos, C. (2006) Pregnancy outcome in nulliparous women at age >35 in comparison to younger nulliparous women. Giornale italiano di ostetricia e ginecologia, 28 (10/11). pp. 479-482. ISSN 1971-1433

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Objective: in this retrospective study we investigate the pregnancy outcome in nulliparous women aged >35 years in comparison with nulliparus women aged <35 years. Study design: we studied the Birth Registry of the Delivery Room in our department of Obstetrics and Gynecology in “Tzaneio” Hospital of Piraeus. The study included 1880 nulliparous women, who delivered single infants (>24 weeks of gestation or infants heavier than 500 gr) between January 1993 and December 2002. In the study we collected information about age and the nationality of the mother, gestational age, mode of delivery, the Gestational Diabetes Mellitus and Hypertension, birth weight, admission to NICU, Apgar Score, preterm labor and perinatal mortality. Results: in the total of 6783 women we registered 1880 nulliparous women. There were 99 nulliparous > 35 aged years and 1781 nulliparous aged < 35 years In the comparison of groups, we found statistical significant differences with respect to the rates of caesarean section, perinatal mortality and admission to NICU. Conclusions: As women aged > 35 years, have fewer reproductive opportunities, “valuable pregnancies” increase significantly. The advanced maternal age should be considered as a risk indicator rather than a risk factor. So the high rate of interventions may result from traditionally held views by physicians that late maternal age poses significant risk.

Item Type: Article
Uncontrolled Keywords: Pregnancy, perinatal outcome, women > 35 years
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 618 Altri rami della medicina; Ginecologia e ostetricia, Pediatria, Geriatria
Depositing User: Matteo Viola
Date Deposited: 20 May 2013 15:29
Last Modified: 20 May 2013 15:29

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