The elderly primigravida--evaluation of 90 cases

Area of Science:

• Obstetrics and Gynecology
• Maternal-Fetal Medicine
• Geriatric Obstetrics

Background:

• Childbearing is increasingly postponed beyond 35 years.
• First-time mothers over 35 (elderly primigravidae) face unique pregnancy risks.
• The term 'mature primigravida' is proposed as a more appropriate descriptor.

Purpose of the Study:

• To investigate reasons for delayed childbearing beyond 35.
• To identify pregnancy complications in this age group.
• To evaluate obstetric performance and fetal outcomes.

Main Methods:

• Prospective study of 90 elderly primigravidae (first-time mothers ≥35 years).
• Data collected from 13,858 deliveries between 1983-1985.
• Analysis of antenatal complications, labor, delivery mode, and perinatal outcomes.

Main Results:

• Pregnancy-induced hypertension was the most frequent antenatal complication.
• Prolonged labor and hypertension were common indications for Cesarean section.
• The Cesarean section rate was 54.4%.
• No maternal deaths occurred.
• Perinatal mortality rate was lower than the hospital average.

Conclusions:

• Pregnancy in mature primigravidae presents specific challenges, notably hypertension and prolonged labor.
• While Cesarean delivery rates are high, maternal mortality is zero.
• Perinatal outcomes in this cohort are favorable, suggesting effective management.