Document Detail

The problem of the older primipara.
MedLine Citation:
PMID:  7190255     Owner:  NLM     Status:  MEDLINE    
The obstetric data relating to 98 older primiparas (OP) (0.21% of all deliveries) are compared with 100 randomly chosen older multiparas (OM) and 100 young primiparas (YP). Notable differences observed were a higher incidence of toxemia and a greater incidence of uterine myomata in the OP group. No difference was seen in the incidences of diabetes, cardiac disease, and essential hypertension. There was a greater number of preterm deliveries. The frequencies of induction of labor, vacuum extraction, and cesarean section were much greater in the OP group. No difference in postnatal course was detected among the 3 groups. No significant increase in perinatal morbidity was observed, but the incidences of prematurity and perinatal mortality were higher. It seems that the attending obstetrician is much quicker to decide to terminate pregnancy or labor ithe OP group. Except for the need for special attention to prematurity and perinatal mortality, the OP group is not at high risk.
I Kessler; M Lancet; R Borenstein; A Steinmetz
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  56     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1980 Aug 
Date Detail:
Created Date:  1980-09-28     Completed Date:  1980-09-28     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  165-9     Citation Subset:  AIM; IM    
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MeSH Terms
Birth Weight
Delivery, Obstetric
Fetal Death / epidemiology
Gestational Age
Infant, Newborn
Infant, Newborn, Diseases / epidemiology
Labor, Obstetric
Maternal Age*
Middle Aged
Pregnancy Complications / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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