Frequency of Advance Maternal Age Pregnancy, Its Associated Risk Factors, Complications and Impact on Fetal Outcome
Nazia Azam Yousfani
Department of Community Medicine, Peoples University of Medical and Health Sciences, Nawabshah, Pakistan.
Mehwish Zafar *
Department of Pathology, Suleman Roshan Medical College, Tando Adam, Pakistan.
Faisal Irshad
Department of Pathology, Suleman Roshan Medical College, Tando Adam, Pakistan.
Sahito Khan
Department of Anesthesiology, Suleman Roshan Medical College, Tando Adam, Pakistan.
Azra Ahmed
Department of Gynaecology and Obstetrics, Suleman Roshan Medical College, Tando Adam, Pakistan.
Tasneem Kousar
Department of Pediatrics, Suleman Roshan Medical College, Tando Adam, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
Objective: To determine the frequency of Advance maternal age pregnancy, its associated risk factors and complications, and to evaluate the obstetric and fetal outcome.
Methods: Cross-sectional study, carried out at a Tertiary Care Hospital of Nawabshah, with a total of 125 Advance age (> 35 years) mothers who gave birth during the study period. Questionnaire based data was collected, statistically analyzed and results were tabulated.
Results: A total of 125 (17.85%) Advance age mothers (>35 years) were recruited for the study. Among this study group Cesarean Section (52%) remained the most observed mode of delivery. Pregnancy related complications included Postpartum hemorrhage (44%), Gestational diabetes (22.4%), and Pregnancy induced hypertension (16%). The neonatal complications mostly observed were, still birth (35%), Low birth weight (17.5%), Preterm birth (26.3%), and Neonatal death (14%).
Conclusion: Advancing age exposes mother to have pregnancy related complications and adverse neonatal outcomes.
Keywords: Advance maternal age mothers, maternal complications, neonatal complications