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Pregnancy outcome in elderly primigravidae.
J D Ojule1, V C Ibe, P O Fiebai
1Department of Obstetrics and Gynecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria. ojeydee@yahoo.com
Annals of African Medicine
|September 14, 2011
Summary
Elderly primigravidae (first-time mothers aged 35+) face higher risks of preterm, macrosomic, and caesarean deliveries. This study found a 1.4% prevalence, highlighting increased risks compared to younger mothers.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Reproductive Health
Background:
- Increasing trend of delayed childbearing leading to a rise in advanced maternal age pregnancies.
- Elderly primigravidae (first-time mothers aged 35 and above) traditionally associated with higher risks of adverse outcomes.
- Need for evaluation of pregnancy and labor complications in this demographic.
Purpose of the Study:
- To determine the prevalence of elderly primigravidae in Port Harcourt.
- To compare pregnancy outcomes between elderly and younger primigravid mothers.
Main Methods:
- Retrospective case-controlled study over two years (2005-2006).
- Inclusion of primigravid mothers aged 35+ (elderly) and <35 years (controls).
- Data extraction from patient records and analysis using SPSS with Chi-square test.
Main Results:
- Prevalence of elderly primigravidae was 1.4% (4.7% of all primigravidae).
- Significantly higher rates of caesarean delivery (58.1% vs 32.1%), preterm delivery (10.8% vs 5.1%), and fetal macrosomia (16.2% vs 6.6%) in elderly primigravidae.
- No significant differences in other maternal and perinatal outcomes.
Conclusions:
- The prevalence of elderly primigravidae in the study center is 1.4%.
- Elderly primigravidae face increased risks for preterm, macrosomic, and caesarean deliveries.
- These findings underscore the need for careful monitoring and management of advanced maternal age pregnancies.
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