Perinatal Outcomes of Advanced and Extremely Advanced Maternal Age Pregnancies
Journal Title: The Medical Bulletin of Haseki - Year 2019, Vol 57, Issue 4
Abstract
Aim: Advanced and extremely advanced maternal age (AMA, EAMA) are known to be associated with increased perinatal mortality and morbidity. We aimed to compare the perinatal outcomes of pregnancy in women <35 and ≥35 years of age and also to compare the outcomes between AMA and EAMA pregnancies. Methods: A total of 1202 patients, who had regular antenatal follow-up and gave birth in our clinic between June 2016 and December 2017, were included. The study group consisted of 632 patients aged ≥35 years and control group consisted of 570 patients aged <35 years. Then, the patients were divided into two subgroups; patients aged 35-40 years (n=495) and over 40 years (n=137). Socio-demographic features, delivery characteristics and perinatal outcomes were obtained from the medical records. Perinatal outcomes were compared between patient and control groups and between subgroups. Results: Gestational diabetes (GDM) (p<0.001), preeclampsia (p<0.001), placenta previa (PP) (p=0.03) and intrauterine fetal death (IFD) (p<0.001) were more common in AMA group than in controls. In subgroup analysis, cesarean section rate was higher (p<0.001), IFD (p=0.04), PP (p<0.001), preeclampsia (p<0.001) and GDM (p<0.001) were more common in EAMA group than in AMA group. Conclusion: Adverse perinatal outcomes are more common in AMA and EAMA pregnancies. We suggest that close monitoring of these pregnants in the antenatal period is crucial to avoid adverse outcomes and to prevent perinatal mortality and morbidities.
Authors and Affiliations
Burcu Dinçgez Çakmak, Betül Dündar, Ülkü Ayşe Türker
A Survey Analyzing Reflections of COVID-19 on Patients and Their Relatives
Aim: In this study, we aimed to analyze the level of knowledge about Coronavirus disease-2019 (COVID-19) in patients and their relatives presented to the emergency department. Methods: In this study, a 25-item questionn...
A Rare Case of Non-resolving Pneumonia: Lipoid Pneumonia
Lipoid pneumonia (LP) is defined as the sum of clinical and radiological abnormalities due to aspiration of oil based foreign materials. There are two kinds of LP defined in the literature. Exogenous LP is associated wit...
Effects of Smoking on Hematological Parameters and Ferritin Levels
Aim: Cigarette smoking is associated with an increased risk of cardiovascular diseases, including coronary artery disease, peripheral vascular disease, ischemic heart disease, atherosclerosis, myocardial infarction, and...
Factors that Increase the Need for Surgery in Chiari Malformation Type 1 Patients Morphometric Analyses in Chiari Patients
Aim: The causes of the syringomyelia in Chiari are not certainly defined. We have done morphometric analyses which can be useful to understand natural course and causes which increase the surgery requirement of patients....
Comparisson of Different Cardiovascular Risk Scores in Newly Diagnosed Hyperlipidemia Patients and Their Relations with Metabolic Syndrome
Aim: Today, there are many risk calculation methods. In this study, we aimed to compare SCORE, QRISK2, BNF, ASSIGN and Framingham risk scorings for patients who have been first detected that they have hyperlipidemia and...