Document Detail

Particularities of pregnancy and labor in 40 -year-old women About 300 cases.
MedLine Citation:
PMID:  21049413     Owner:  NLM     Status:  In-Data-Review    
Background: Pregnancy beyond age 40 is considered as a high risk pregnancy associated with high rates of maternal and fetal complications. Aim: To analyze particularities of pregnancy and labor and to examine obstetrical and neonatal outcomes among women age 40 years and older. Methods : There was a retrospective study including two groups of 300 patients , the first including the 40 -year- old and over women (case group), and the second including 20-to 39 -year -old mothers (control group). Results: The mean age for the case group was 41 years. Ten (10.6%) of the women in the ca se group were primiparous as compared with twenty-seven (27.5%) in the control one (p=0.001).The antenatal surveillance was better in the control group. The morphologic sonograhy was performed in 73% of cases of 40-year -old -women versus 90% in the control group (p<0.001). Maternal age 40 and over was associated with an increased risk for gestational diabetes (6.4% versus 1.7%, p <0.001). The premature rupture of membranes was frequent in the case group (25.7% versus 11.7% p <0.001), and the amniotic fluid meconuim (16.3% versus 6.7%, p <0.001). The risk for cesarean section was higher in older women (25.7% versus 14% avec p <0.001). Neonatal outcomes (Apgar score, birth weight, perinatal mortality) were similar to those in the younger age group. Conclusion: The analysis of our results and the review of the literature have proven that advanced-maternal-age-pregnancy is associated with increased complications. So some recommendations' are necessary to ameliorate the management of this pregnancy.
Asma Jnifen; Anis Fadhlaoui; Anis Chaker; Fethi Zhioua
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  La Tunisie médicale     Volume:  88     ISSN:  0041-4131     ISO Abbreviation:  Tunis Med     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0413766     Medline TA:  Tunis Med     Country:  Tunisia    
Other Details:
Languages:  eng     Pagination:  829-33     Citation Subset:  IM    
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