Numerous reports had appeared in the literature citing the danger of pregnancy in elderly primipara. The elderly primipara is generally defined as a women at the age 35 years or greater if she is experiencing the birth of her first viable baby.
192 cases of elderly primiparas at the department of Obsterics & Gynecology, Taegu Fatima Hospital from January 1991 to December 1995 were compared with 200 systemic random sampling chose young primiparas during the same period.
@ES The results were obtained as follows ;
@EN 1. There were 192 cases of elderly primipara among total 35,034 deliveries and the incidence of the elderly primipara was 0.6%.
2. The rate of elderly primipara was increased from 0.3% in 1991 to 0.8% in 1995.
3. Maternal age was distributed from 35 to 44 years. The majority(49.5%) were in age group 35 and 36 years.
4. 171 cases(89.1%) of total cases were vertex presentation and breech presentation was in 20 cases(10.9%) and transverse lie was in 1 case(0.5%).
5. Abdominal delivery was 64.6% in elderly primipara comparing with 20.5% in younger primipara(p<0.01).
6. Concerning the antenatal complications, the incidence of myoma was significantly increased in elderly primipara(p<0.05). The incidences of hypertensive disorder and preterm premature rupture of membranes(PPROM) were higher in elderly
primipara,
but
there were-no statistical significance(p>0.05).
7. Among the indication of Cesarean seetion, highest incidence was elderly primipara(53.2%). Other incidences were abnormal presentation, CPD, fetal distress, multiple gestation and severe preeclampsia, in order of frequency.
8. The incidence of low birth weight(<2,500 mg) was 13.3% comparing with 9.3% in younger primipara(p>0.05).
9. Preterm delivery(before 37 wks) was 9.4% comparing with 4.0 % in younger primipara(p<0.05).
10. The perinatal mortality rate was 26 in elderly primipara comparing with 10 in younger primipara(p>0.05).
11. One cases of 192 cases was congenital anomaly but there was no chromosomal anomaly.
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