Pregnancy outcome in women aged 40 years or more

Favilli, Alessandro; Pericoli, Silvia; Acanfora, Marta Maddalena; Bini, Vittorio; Renzo, Gian Carlo Di; Gerli, Sandro

doi:10.3109/14767058.2011.643327

Cited by 52 publications

(42 citation statements)

References 24 publications

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“…When compared to women in twenties, the risk of developing GDM increases from 2% to 7% in those more than 35 years. [15][16][17] The low prevalence rate seen in the present study may be explained by the fact that 76% of women were less than 39 years of age and get married soon and conceive at an early age. In present study, age more than 30 years and less than 25 years was significantly associated with increased risk of GDM (p value of 0.01).…”

Section: Resultsmentioning

confidence: 59%

Prevalence of gestational diabetes mellitus and perinatal outcome: a rural tertiary teaching hospital based study

Reddy

Sailaja

Balmuri

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Gestational diabetes mellitus is the commonest medical disorder in pregnancy. Women with GDM are at increased risk for adverse obstetric and perinatal outcome. Prevalence of GDM is known to vary widely depending on region of the country, dietary habits and socio-economic status. This study was undertaken to evaluate the prevalence of GDM and risk factors associated with it among women delivered in a rural tertiary teaching hospital in Telangana and further assess its impact on feto-maternal outcome.Methods: A retrospective study was conducted at Mediciti Institute of Medical Sciences on GDM cases delivered from May 2015 to April 2017. GDM was diagnosed using 2 step procedure of screening with glucose challenge test followed by confirmation with oral glucose tolerance test using Carpenter and Couston criteria. Demographic data and details about perinatal outcome were obtained from medical records and analyzed.Results: The prevalence was low (1.83%) compared to other studies. Majority of the women did not have risk factors. Preeclampsia is the commonest maternal complication seen (18%). Hypothyroidism is more often associated with GDM (15%). Caesarean section rate was high (62%). Though the NICU admission rate was high (76%), neonatal outcome was found to be satisfactory.Conclusions: The low prevalence of GDM seen highlights the importance of carrying out studies in different population groups of India to know the exact prevalence of GDM in the country. Pregnancies in women with GDM continue to be at increased risk of maternal and perinatal complications.

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Section: Resultsmentioning

confidence: 59%

Prevalence of gestational diabetes mellitus and perinatal outcome: a rural tertiary teaching hospital based study

Reddy

Sailaja

Balmuri

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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“…Ma már számos közlemény [8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50] : 1,32). A császármetszés gyakorisága először szülőknél és többedszer szülőknél egyaránt lényegesen magasabb a 30 éves korosztályhoz képest.…”

Section: Növekvő Veszélyek Az Anya éLetkorának Előrehaladásávalunclassified

Magzati és anyai betegségek kockázata 40 évesnél idősebb édesanyák esetén

et al. 2015

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Az elmúlt néhány évtizedben a gyermeket vállaló nők életkora emelkedő trendet mutat. Számos tanulmány mutatott rá az anyai életkor emelkedésének és a terhesség kimenetelének összefüggésére a vetélés, a halvaszületés, a praeeclampsia, a terhességi hipertenzió, a gestatiós diabetes mellitus, a koraszülés, a kis vagy nagy gesztációs korú újszülött, valamint az elektív vagy sürgősségi császármetszés kapcsán. E vizsgálatok egymásnak ellentmondó megállapításokról számoltak be. A jelenlegi közlemény célja az, hogy összefoglalja az előrehaladott anyai életkor és a terhesség kimenetele közti, bizonyítékokon alapuló információkat. Orv. Hetil., 2015Hetil., , 156(49), 1987Hetil., -1990. Kulcsszavak: előrehaladott anyai életkor, magzati-anyai szövődmények, terhesség kimenetele Risk of maternal and fetal disease among women older than 40 yearsA rising trend in advanced maternal age has been observed over the last few decades. Several studies have assessed the association between advanced maternal age and adverse pregnancy outcome, including miscarriage, stillbirth, preeclampsia, gestational hypertension, gestational diabetes mellitus, preterm birth, delivery of a small-or large-forgestational-age neonates and elective or emergency Cesarean section. These studies reported contradictory fi ndings. The aim of the present paper is to summarize the evidence-based information regarding advanced maternal age and pregnancy outcomes. Keywords: advanced maternal age, fetal, maternal complications, pregnancy outcomeVanya, M., Szili, K., Devosa, I., Bártfai, Gy. [Risk of maternal and fetal disease among women older than 40 years]. Orv. Hetil., 2015, 156(49), 1987-1990. (Beérkezett: 2015 elfogadva: 2015. Rövidítések CS = császármetszés; GDM = gestatiós diabetes mellitus; LGA = large for gestational age; SGA = small for gestational age Napjainkban az Európai Unió számos országában elfogadott trend, hogy egyre több nő vállal gyermeket 35, sőt 40 éves kor felett [1,2,3,4,5]. Számos tanulmány eredményei arra engednek következtetni, hogy az előre-haladott anyai életkor és a terhesség kimenetele -beleértve a vetélés, halvaszületés, praeeclampsia, terhességi hipertenzió, terhességi cukorbetegség (GDM), koraszü-lés, kis súlyú (SGA), valamint a nagy súlyú (LGA) újszü-lött és elektív vagy sürgősségi császármetszés -között szoros korreláció van. Egyes tanulmányok eredményei azonban ellentmondásosak [6,7,8,9,10,11,12,13,14,15]. A jelen összefoglalónk célja, hogy áttekintsük az anyai életkor és az anyai, valamint magzati komplikációk összefüggéseit.

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“…The Society is composed of various professional figures, including gynaecologists, neonatologists, obstetricians, anaesthetists, midwives, professional nurses, surgeons, geneticists, psychologists, and so forth. This, therefore, enables it to have a holistic vision of health and disease, declining this complex area of medicine from various perspectives and deciphering phenomena which, while appearing to be strictly medical-biological in their final determinism, are also of a social and environmental nature [3,4]. The SIMP directs observations and activities concerning concepts that are able to give new vigour to the culture of mother, foetus and newborn.…”

Section: Essencementioning

confidence: 99%