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KMID : 0376219870240030293
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Chonnam Medical Journal
1987 Volume.24 No. 3 p.293 ~ p.300
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A Clinical and Statistical Study of the Eldery Paras
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Abstract
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With the changing life patterns for women in current society, there is often a postponement of childbearing. Thus the impact of older maternal age on pregnancy outcome becomes increasingly important. 266 pregnancies in women whose age were 35 or more years at delivery were compared with 285 pregnancies in women whose age were 20 to 30 years at delivery at Chonnam National University Hospital from January 1980 to September 1987. The fetus under 1, 000gm was excluded.
The results obtained were as follows:
1. Study group was 3.1 % of 8, 500 total deliveries. Primiparous women were 16% and multifarious women were 84% in the study group.
2. Maternal age was distributed from 35 to 48 years. The majority (48.9 % ) were in the age of 35 and 36 years.
3. 241 cases (91.0%) of total cases were vertex presentation and breech presentation was in 20 cases (7.5%) and transverse lie in 4 cases (1.5%).
4. There was an increased frequency of hypertension and placental abruption in the older women but the frequency of PROM, placenta previa, urinary tract infection and postpartum hemorrhage was not statistically different between two groups.
5. 203 cases (76.3%) were delivered vaginally and 63 cases (23.7%) were delivered abdominally.
6. Among the indications of cesarean section, the highest incidence was CPD and other indications were previous cesarean section, breech presentation, placenta previa, and fetal distress in order of frequency.
7. Prenatal mortality rate was 124/1, 000 deliveries in the study group comparing with 25/1, 000 deliveries in the control group.
8. The frequency of preterm delivery was not statistically different between two groups but that of postern delivery was more frequent in the study group.
9. There was an increased frequency of macrosomia (>=4,000g) in the study group but the incidence of LBW (<=2,500g) showed no statistical difference between two groups.
10. The frequency of babies with low Apgar scores was higher in the study group than in the control group.
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