Abstract
OBJECTIVE: The objective of this study was to compare pregnancy outcome of women aged 40
& above with those of 20- 30 year.
STUDY DESIGN: Cross-sectional and comparative study.
SETTING: Department of obstetrics& Gynecology Peoples University of Medical & Health Sciences Nawabshah.
DURATION: From 1st July 2011 to 31st Dec 2011.
MATERIAL & METHOD: Consecutive 100 cases of women aged 40 & above and 100 cases of
women aged between 20-30 years were included in the study, and labeled as group A & B respectively. All patients were under gone general & physical examination & routine laboratories
tests. The biological effects of age on the pregnancy out come were observed, & results were
tabulated.
RESULT: The mean age for case group was 41.56 ± 2.06 & that for control group 25 ± 2 years.
Among the maternal complication of increased maternal age were abortion in early half & preterm labor in second half of pregnancy (10%) & (12%) respectively. Hypertension (14%) & Diabetes (9%) were more common than in younger age group. Risk of fetal malformation (11%) was
also three fold more than younger group (2%). Increased rate of c- section (6%) was seen more
with advanced maternal age with high parity.
CONCLUSION: The advanced maternal age is candidate with high risk of maternal & perinatal
morbidity &mortality. Appropriate management can be formulated to ensure better maternal &
fetal outcome during pregnancy.
Farhana Shaikh, Farida Wagan, Kausar Jillani , Khairunnissa Memon . (2012) Pregnancy Outcome at Maternal Age 40 and Older , Journal of Liaquat University of Medical and Health Sciences, Volume-11, Issue-3.
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