The data presented are based on 176 cases of mothers with advanced age, 35 years or more (including 159 cases of ages 35- 39 years and 17 cases of age ≥40 up to 48 years) among total of 9933 delivereis seen in Ewha Womans University Hospital, Seoul during Past 5 years(1985~1989). As the control subjects 178 cases of age 20 - 29 years were random selected from the respective period.
In the present study will be discussed on both maternal and perinatal risks in order to attercpt to be a beneficial additions to the precise recognition and prevention of older mothe er´s risks especially in the low socio -economic areas where prone to be at risk. The summary of tl.e results were as follows.
1. For the past 5 years the incidence of gravides with advanced age 35 years or more (2.5`,´´:) showed no any decreased trend.
2. In the maternal risks 1) Hypertension was most common antenatal complication in the mothers with advanced age( ≥ 35 years, or ≥40 years) compared with younger mothers, eq., severe preeclampsia accounted for 6-12% vs. 3%, and increased 2-3. 5 folds, chronic hypertension 2 -6% is. 0.6% and also increased 4:- 10 folds compared with younger mothers.
2) Gestational diabetes accounted for 1.1% vs. 0.6% in aging mothers(> 35 years) with 2 folds incretent (P<0.05)
|