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Advanced maternal age has been associated with an increased risk of various complications like hypertension diabetes and intrauterine growth retardation and congenital malformations. Elderly Gravida or late pregnancy occurs due to late marriages women in education career Infertility Lack of knowledge Lack of interest in family planning methods or Eagerness for male child.
There would still appear to be a need for an increased awareness of the fetal risks in this group and an increased emphasis on their prevention.
Elderly primigravida risks. Elderly primigravida remains a high risk pregnancy and the incidence is high. They were significantly associated with adverse pregnancy outcomes and operative obstetric interventions. Early booking and more obstetric vigilance shall improve their pregnancy outcomes.
Obstetrical risks in the older primigravida. Advanced maternal age has been associated with an increased risk of various complications like hypertension diabetes and intrauterine growth retardation and congenital malformations. Amongst the complications during pregnancy pregnancy induced hypertension was commonest complication in elderly primigravidas 2435 vs.
And above in her first pregnancy as an elderly primigravida 1 others introduced the term mature primigravida as a suitable alternative to elderly primigravida 2. Many studies showed this group of women to be at high risk of complications including instrumental deliveries malpresentation malposition prolonged labor cesarean. The elderly primigravida.
There would still appear to be a need for an increased awareness of the fetal risks in this group and an increased emphasis on their prevention. Areas of management in prenatal care and labor which might reduce these figures are defined. The elderly nulliparous women are at a higher risk for abortions fibroids preeclampsia diabetes mellitus operative interferences and low birth weight babies.
In the present study 31 of the study group had a marital life of four years whereas it was only 3 in the control. This study was conducted to find out the proportion of elderly primigravida and to compare their pregnancy outcome with that in younger primigravida of aged 20. Other problems creating lot of risks.
Elderly Gravida or late pregnancy occurs due to late marriages women in education career Infertility Lack of knowledge Lack of interest in family planning methods or Eagerness for male child. Delayed pregnancy is associated with the risk of miscarriage. Some studies have indicated that there is an elevated risk of low birth weight under 25 kilograms and preterm birth before 37 weeks of pregnancy for women aged 35 or older.
Pregnant people 40 and over are at greater risk of developing this condition which usually sets in after 20 weeks gestation and even more often in the third trimester but it can happen earlier. With the advancement of maternal age the risk of various genetic disorders in the child increases. Modern research has proven that the risk of a miscarriage increases progressively with maternal age.
This is another major cause of worry in. The elderly primigravidae group had 6 times higher risk of pre-eclampsia than their younger peers of age 20-34 years OR603. The elderly primigravedae mothers had 22 times higher risk of caesarean section delivery than the control group mothers OR 221.
95 CI107 - 459. It is the pregnancy in which the mother foetus and or newborn are at risk of morbidity or mortality during pregnancy labour and or postpartum. Are grouped as elderly primigravida.
The age limit is an arbitrary demarcation above which the pregnancy outcome is adversely affected beyond a specific age1 This group of patients has many obstetric complications like pregnancy induced hypertension gestational diabetes mellitus and some preexisting medical. Prolonged labor has been recognized as increasing fetal risk. Because of a number of factors the incidence of prolonged labor in the elderly primigravida is increased and the increase in neonatal morbid- Volume 121 Number 4 The elderly primigravida 469 ity in this series with labors greater than 20 hours was statistically significant.
CONSIDERATIONS OF THE ELDERLY PRIMIGRAVIDA. HER PROBLEMS AND RISKS DARDONDIAZ CR. Revista del Colegio Medico de Guatemala 01 Jun 1964 15.
Share this article Share with email Share with. Elderly primigravidae versus young primigravidae. A review of pregnancy outcome in a low resource setting.
Eleje GU lgwegbe AO Okonkwo JE Udigwe GO Eke AC Niger J Med 2014 Jul-Sep233220-9. Generally elderly primigravida is a high-risk pregnancy having an increased possibility of complications. With the help of modern technology the risk has been reducing.
Seriously many studies have been done to know the risk of elderly primigravida compared to a younger pregnant woman.