We compared obstetric prognosis in 327 women > or = 40 years old (148 nulliparas, 279 multiparas) with 20-30-year-old matched controls who delivered at our department between 1988 and 1990. Gestational diabetes and chronic hypertension were the only more frequent antepartum complications in cases than controls (2.4% vs. 0.3% and 3.4% vs. 0.3%, respectively). There were more premature deliveries in cases than controls (19% vs. 8%) but no difference in postdate deliveries. Cesarean section was more frequent in cases than controls in both nulliparas (64% vs. 30%) and multiparas (43% vs. 12%). Incidence of abdominal delivery for acute obstetrical indications was not increased in older gravidas. Significant differences were observed in low birthweight (17% vs. 5%) and 5-min Apgar score < 7 (8% vs. 2%). Most of the abnormal Apgar scores were recorded after cesarean section; values for vaginally-delivered infants were comparable in older and younger women. Perinatal mortality was similar in the two groups.
|Titolo:||Pregnancy at forty and over: a case-control study|
VERCELLINI, PAOLO PIETRO (Primo)
|Parole Chiave:||Age Factors ; Pregnancy Complications ; Infant, Low Birth Weight ; Obstetric Labor, Premature ; Humans; Infant, Newborn ; Infant Mortality ; Diabetes, Gestational ; Pregnancy ; Pregnancy, High-Risk ; Apgar Score ; Risk Factors; Maternal Age ; Adult ; Case-Control Studies ; Middle Aged ; Cesarean Section ; Female ; Pregnancy Outcome ; Hypertension|
|Settore Scientifico Disciplinare:||Settore MED/40 - Ginecologia e Ostetricia|
|Data di pubblicazione:||mar-1993|
|Digital Object Identifier (DOI):||10.1016/0028-2243(93)90087-S|
|Appare nelle tipologie:||01 - Articolo su periodico|