Observational Study of Maternal and Fetal Outcome in Elderly Primigravida
International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
www.ijsr.net | Open Access | Fully Refereed | Peer Reviewed International Journal

ISSN: 2319-7064



Downloads: 117

Research Paper | Gynaecology | India | Volume 6 Issue 3, March 2017

Observational Study of Maternal and Fetal Outcome in Elderly Primigravida

M.P.A Sailakshmi, Priya Sahu, R. Nagarathnamma

Background Maternal age plays an important role in determining pregnancy outcome and women aged 35 years and above undergoing their first pregnancy are often classified under high risk pregnancy group. Objective The objective of this study was to determine the maternal and fetal outcome in an elderly primigravida. Material and Methods Case records of 4167 pregnant women were reviewed retrospectively. Primigravidas with age more than 35 years old at the time of delivery were included in the study. Data regarding age, socioeconomic status, booking status, mode of delivery, maternal and foetal complications were collected. Results During the study period, there were 4167 deliveries out of which 80 were elderly primigravidae giving the incidence of 1.9 %. Increased maternal complications like hypertensive disorder in pregnancy (22.5 %), gestational diabetes mellitus (7.5 %), anemia (7.5 %), hypothyroidism (6 %), oligohydramnios (5 %) were seen. Increased fetal complications like IUGR (13 %), preterm delivery (6 %), anomalies (4 %) and intrauterine fetal demise (4 %) were seen. Caesarean section rate was 56 %. Conclusions Despite technological advancements, the rates of maternal and fetal morbidity and mortality remain high in advanced maternal age. We believe that with advent of preconceptional counselling, prenatal diagnosis and antepartum fetal surveillance, maternal and fetal morbidity and mortality can be reduced.

Keywords: Elderly primigravida, Pregnancy, High risk pregnancy

Edition: Volume 6 Issue 3, March 2017

Pages: 1558 - 1560

Share this Article

How to Cite this Article?

M.P.A Sailakshmi, Priya Sahu, R. Nagarathnamma, "Observational Study of Maternal and Fetal Outcome in Elderly Primigravida", International Journal of Science and Research (IJSR), https://www.ijsr.net/search_index_results_paperid.php?id=ART20171528, Volume 6 Issue 3, March 2017, 1558 - 1560

Enter Your Email Address




Similar Articles with Keyword 'Pregnancy'

Downloads: 38

Case Studies, Gynaecology, India, Volume 4 Issue 3, March 2015

Pages: 2457 - 2459

Case Report on Consanguineous Marriage

Pramila D' Souza; Sonia Karen Liz Sequera

Share this Article

Downloads: 39

Case Studies, Gynaecology, India, Volume 6 Issue 6, June 2017

Pages: 1431 - 1433

Anaesthetic Management of Primigravida with Ovarian Cyst for Emergency Laparotomy

Dr. Krishna Patel; Dr. Aishwarya Bandewar; Dr. Olvyna D'souza

Share this Article

Similar Articles with Keyword 'High risk pregnancy'

Downloads: 110

Research Paper, Gynaecology, India, Volume 5 Issue 5, May 2016

Pages: 1911 - 1914

Effect of Prenatal Teaching on Pregnancy Wellbeing

Megha Kadam, Dr. S. G. Joshi

Share this Article

Downloads: 120

Research Paper, Gynaecology, India, Volume 6 Issue 9, September 2017

Pages: 1595 - 160

Multidisciplinary Approach Resulting in Improved Maternal Survival in Eisenmenger Syndrome: Prospective Study in a Tertiary Care Centre

Akansha Shrivastava, Preeti Singh, Ruchi Bhatiyani, Deeksha Khurana, Asmita M. Rathore

Share this Article

Similar Articles with Keyword 'Elderly'

Downloads: 125

Case Studies, Gynaecology, India, Volume 5 Issue 3, March 2016

Pages: 230 - 231

Case Report on Forgotten Vaginal Pessary Leading to Incarceration

Dr. Shradha, Dr Prof. P. B. Sahay

Share this Article

Downloads: 130

Research Paper, Gynaecology, India, Volume 4 Issue 4, April 2015

Pages: 790 - 795

Prevalence of Menopausal Problems and the Strategies Adopted by Women to Prevent Them

Lt Col Geetha R, Lt Col Laxmi Priya Parida

Share this Article

Similar Articles with Keyword 'primigravida'

Downloads: 39

Case Studies, Gynaecology, India, Volume 6 Issue 6, June 2017

Pages: 1431 - 1433

Anaesthetic Management of Primigravida with Ovarian Cyst for Emergency Laparotomy

Dr. Krishna Patel; Dr. Aishwarya Bandewar; Dr. Olvyna D'souza

Share this Article

Downloads: 99

Case Studies, Gynaecology, India, Volume 4 Issue 1, January 2015

Pages: 2377 - 2380

A Rare Case of Spontaneous Rupture of a Gravid Bicornuate Uterus in a Primigravida

Dr. Susmita Bhattacharya, L. Ranjit Singh

Share this Article



Top