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Birth risk indicators for maternal and neonatal health among three different age groups: Betong Hospital perspective

Piboonsak Siwawut1, Verapol Chandeying

  • 1Department of Obstetrics and Gynecology, Betong Hospital, Yala, Thailand.

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|December 1, 2012
PubMed

Insights

Adolescent and elderly pregnancies show distinct risks, but optimal antenatal care ensures comparable outcomes to adult pregnancies. This study highlights key maternal and neonatal indicators across age groups.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Neonatal Health

Background:

  • Pregnancy outcomes vary significantly across different maternal age groups.
  • Understanding age-specific birth risks is crucial for optimizing maternal and neonatal care.
  • Adolescent and elderly pregnancies present unique physiological challenges.

Purpose of the Study:

  • To compare maternal and neonatal birth risk indicators among adolescent, adult, and elderly women.
  • To investigate the relationship between maternal age and pregnancy outcomes.
  • To identify specific risk factors associated with different maternal age groups.

Main Methods:

  • Retrospective descriptive study of 902 deliveries between October 2010 and September 2011.
  • Analysis of maternal and neonatal health risk indicators from medical records.
  • Comparison of outcomes across three age groups: adolescent, adult (reproductive), and elderly.

Main Results:

  • Adolescent pregnancies had a significantly lower cesarean section rate due to failure to progress (7.3% vs. 14.5% in adults).
  • Elderly pregnancies showed significantly lower rates of cesarean section due to previous C-section (2.7% vs. 12.7%) and low birth weight (<2500g) (2.7% vs. 7.9%).
  • Antibiotic usage during vaginal delivery was significantly higher in the elderly group (75.0%) compared to adults (8.3%).

Conclusions:

  • Adolescent pregnancy, despite potential complications, can yield comparable outcomes to other age groups with optimal antenatal care.
  • Elderly pregnancies demonstrated reduced risks for specific complications like previous C-section and low birth weight.
  • Targeted antenatal care strategies are essential for mitigating risks in adolescent and elderly pregnancies.
Abstract

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