THE PERINATALAND MATERNAL OUTCOME IN PREGNANCY WITH ADVANCED MATERNALAGE 35 YEARS AND >35 YEARS IN WESTERN RAJASTHAN

Abstract

BACKGROUND Pregnancy is affected by maternal age from conception till delivery. Various studies have been conducted globally to study this effect; few in developing countries. It is associated with decreased fertility and increased risk. Simultaneously higher advanced technique and better supported maternal and neonatal care also exist. Maternal age is increasing in developing countries as well, so we have conducted this study. METHOD: It is observational prospective analytic study, conducted in umaid hospital , Dr S N medical college ,jodhpur. Total 322 patients were included in study, fulfilling inclusion criteria over period of 6 months. RESULT : A total no. of 322 elderly pregnant patients were selected for the study. Most of the cases were in the age group 35 to 39 years (89.93%). Multi gravida (71.8%) and grand multi para (22.22%) constituted the largest group. Most of the cases belong to lower socio-economic status (90%). Percentage of unbooked cases was 82.98%. The causes of delay in pregnancy were preference for male child (25.1%) and unawareness of contraception (22.36%). The incidence of diabetes mellitus and chronic hypertension were increased. Overall caesarean rate was increased (35.4%). Incidence of abortions 21(6.5%), preterm delivery 18(5.6%), oligohydramnios 20(6.21%), APH 9(2.8%) and PROM 16(4.96%), low birth weight baby 33(10.25%), NICU admission 18 (5.6%), IUGR 14(4.34%) all were high. The preference for male child 81(25.1%) and lack of awareness 72(22.36%) were two major reason for continuing pregnancies and deliveries till late age. CONCLUSION The present study showed that pregnancy at advanced age is a higher risk pregnancy in term of increased maternal and perinatal morbidity and mortality.