Maternal and Perinatal Outcome of Pregnancy over the Age of 35 years

SUBHA SIVAGAMI SENGODAN; MOHANA DHANAPAL; VIJAYA SUBRAMANIAN

Volume : V, Issue : VII, July - 2016

Maternal and Perinatal Outcome of Pregnancy over the Age of 35 years

Subha Sivagami Sengodan, Mohana Dhanapal, Vijaya Subramanian

Abstract :

Advanced maternal age is a risk factor and not a causative one for adverse maternal and perinatal outcomes. The objective of this study is to analyze maternal and perinatal outcome of pregnancy in woman above 35 years .This is a cross sectional study based on patients who got admitted in the labour ward complex in Government Kasthuriba Gandhi Hospital & ISO, Triplicane, Chennai–5 till the time of delivery from Jan 2013 to Dec 2013. There were 250 booked patients aged 35 years and above at the time of study (study group) and compared their maternal and perinatal outcomes with those of women 20 to 34 years age group (control group n–250). Educated and professional women prefer late marriages and delayed child be�. There is definitely significant increase in the incidence of age related medical complications like diabetes mellitus, systemic hypertension and pregnancy associated complications like gestational diabetes mellitus, and pregnancy induced hypertension, anaemia, placenta praevia, auptio placenta and early and late pregnancy losses in the study group. Many patients in study group have fertility issues and labour dysfunctions. In view of more of age related and pregnancy associated complications in study group, a good knowledge of risks involved in pregnancies above 35 years will enable the obstetrician to carry out the appropriate management modalities to improve the outcome of pregnancy.