Pregnancy Outcome Comparison in Elderly and Non Elderly Primigravida attending at Mahila Chikitsalay, Jaipur (Rajasthan) India
Abstract
Pregnancy and child birth are normal physiological processes and outcomes of most of the pregnancies are good but sometimes because of some reasons it has bad outcomes; out of that one is supposed to be elderly primi. But nowadays it becomes essential to delay the pregnancy in changing social and economic trend. Simultaneously higher advanced technique and better supported maternal and neonatal care also exist. So to have an idea of balance between these this case-control study was done on 120 elderly and 120 non-elderly primigravida to compare the pregnancy outcomes. To find out the association Chi-Square and Unpaired‘t’ test was used. It was observed in this study that although there was no significant difference in antenatal maternal pregnancy outcomes but PPH, induction of labor, cervix dystocia were significantly more in elderly. Likewise time taken to start with breast feeding was also more in elderly. In case of newborn mean APGAR score and mean birth weight was significantly lesser in elderly than non-elderly.
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Introduction
Pregnancy is the only time in a women’s life when she can help God’s work a miracle. Mothers and children are the vulnerable group in any population. In India women of child bearing age constitute 19%. The health of the mother lays strong foundation to the health of the nation in general. 1 Pregnancy and child birth are normal physiological processes and outcomes of most of the pregnancies are good. Data suggest that around 40% of all women develop some complication. One such risk factor is elderly pregnancy that leads to many complications during pregnancy, labor and also for the baby.2
Now a day’s women because of their career and other problems delay pregnancy. Elderly women are at high risk of complication including instrumental deliveries, mal-presentations, malpositions, prolonged labor, caesarean section rate, induction of labor, pregnancy induced hypertension, diabetes mellitus, ante and post partum haemorrhage.3
Conclusion
It was concluded that among maternal pregnancy outcomes PPH, Induction of lablour and cervix dystocia were found significantly more in elderly primigravida than non-elderly. Likewise fetal pregnancy outcomes Oligohydramnios, Breach and Transverse lie were found significantly more in elderly primigravida than non-elderly. Likewise vaginal deliveries were significantly less in elderly primigravida than non-elderly. Likewise APGAR score and Mean birth weight was also significantly lower in newborns of elderly primigravida than non-elderly. Mean time in starting breast feeding was significantly higher in elderly primigravida than non-elderly women.
So it can be concluded that if elderly primigravida is cared at a modern hospital with advance techniques these adverse pregnancy outcome may not have significant difference in elderly and non elderly women or it can be managed.