Volume : 6, Issue : 12, December - 2017

PREGNANCY OUTCOME IN ELDERLY MOTHERS

Dr. Lipipuspa Pattnaik, Dr. Asima Das, Dr. Sarika Avasthi

Abstract :

<p>&nbsp;<b style="text-align: justify;"><span style="font-size:14.0pt">INTRODUCTION</span></b><span style="text-align: justify; font-size: 14pt;">: Elderly mothers are those females who &nbsp;has conceived at or after the&nbsp; &nbsp;age of &nbsp;35 years. Pregnancy after the age of 35 years is well known for its adverse outcome.</span></p> <p class="MsoNoSpacing" style="text-align:justify"><span style="font-size:14.0pt">&nbsp;</span></p> <p class="MsoNoSpacing" style="text-align:justify"><b><span style="font-size:14.0pt">MATERIALS AND METHODS</span></b><span style="font-size:14.0pt">: We carried out a retrospective study at &nbsp;KIMS Medical College &amp;PBMH, Bhubaneswar, Odisha, India from August 2016 to October&nbsp; 2017. Women who conceived at &nbsp;or after the age of 35 years and delivered during the above period were taken as study group &nbsp;and those between 20 to 34 years were taken as control group. Pregnancies with a history of prepregnancy&nbsp; medical and surgical disorders and multifetal pregnancies were excluded from the study which have got their own complications and may confound the result. Selected maternal and perinatal factors&nbsp; were taken and analysis of outcome done taking into considerations the &nbsp;selected maternal and perinatal factors .<o:p></o:p></span></p> <p class="MsoNoSpacing" style="text-align:justify"><span style="font-size:14.0pt">&nbsp;</span></p> <p class="MsoNoSpacing" style="text-align:justify"><b><span style="font-size:14.0pt">RESULT</span></b><span style="font-size:&#10;14.0pt">: The &nbsp;study group mean age was 37.2years and that of the control group was 25.3years .The incidence of hypertension, gestational diabetes mellitus, oligohydramnious , IUGR were more in the study group . The number of Caesarian deliveries were more . So also still births . NICU admissions were also more in the study group . p-values in these cases were below 0.05 and were significant.<o:p></o:p></span></p> <p class="MsoNoSpacing" style="text-align:justify"><span style="font-size:14.0pt">&nbsp;</span></p> <p class="MsoNoSpacing" style="text-align:justify"><b><span style="font-size:14.0pt">CONCLUSION</span></b><span style="font-size:14.0pt">: Analysis of the effects of the age of the elderly mothers on pregnancy outcome , both maternal and fetal ,has shown an increased incidence of &nbsp;adverse outcomes. The importance of the study lies in that these women should be counseled and put under close surveillance in order to improve the outcome&nbsp;<o:p></o:p></span></p>