Adverse pregnancy outcomes in extremely maternal age

Abstract

Objective: To study the adverse outcome in pregnant women ≤ 16 and ≥ 40 years. Study Design: A total of 1100 cases, 1061 cases of pregnant women ≤ 16 years, 20 -29 and ≥ 40 years with completed charts between 1st January, 2006 to 31st December, 2010, were enrolled in this study. The patient data includeing demographic data, hospital course, maternal laboratory investigations, maternal complications, placental complications and neonatal outcomes were recorded. SPSS version 14, one-way Anowa, Chi-square and analysis of varience were used to compare the data among two and three groups. Results: Anemia, underlying medical diseases including heart, thyroid and pulmonary diseases, obstetric complications including severe pre-eclampsia and gestational diabetes mellitus, placenta previa and preterm labour; medical administrations including magnesium sulfate, dexamethasone and bricanyl, outcome of deliveries and neonatal outcomes, were different with statistical significance between the 3 groups of pregnant women. Conclusion: Adverse maternal and neonatal outcomes were mostly found in the pregnant women ≤ 16 and ≥ 40 years. Education of contraception, safe sex and effective care during pregnancy of both extremely maternal age groups should be implemented to reduce those poor outcomes.

Advanced maternal age and its association with placenta praevia and placental abruption: a meta-analysis

“…We considered 35 years or older as the cutoff point for separation between young and older women. Most articles subdivided advanced maternal age into 35-39 years and ≥ 40 years 10,11,12,13,14,15,16,19,20,33,34,35 , others used ≥ 35 years 21,25,36,37,38,39,40 , and some only considered AMA age ≥ 40 years 41,42,43,44 . Regarding the definition of the age range for the comparison group, the studies were very different, with most using 20 to 34 years (30.4%), followed by < 35 years (21.1%), 25 to 29 years (17.4%), and others (26.1%).…”

Comparison Of Outcomes Of Teenage And Non-Teenage Pregnancies At A Rural Maternity Hospital In Ramnagara District, Karnataka – Arecord Review

“…Parents and community are recognizing the importance of education and are discouraging early marriage and child bearing. Governments have accepted the need to improve the status and health of women and policy makers are increasingly focusing their attention on the situation of youth, especially that of girls and young women 5 .While all the teen pregnant women were homemakers, 3(3.3%) of the non-teenagers were gainfully employed. Teenage pregnancy hampers further employment opportunities and makes them economically dependent on their families.…”