Abstract

Pregnancy in women aged 35 years or above is generally considered an advanced maternal age (AMA). AMA is associated with an increased rate of maternal and neonatal complications. Our present study assessed and compared the effect of AMA on maternal and neonatal outcomes. Materials and Methods: The study was conducted among 120 rural young, middle-aged and elderly women, selected randomly outpatient at Department of Obstetrics and Gynaecology, Mamata Medical College, Khammam. Outcomes for women 35 years of age or older were compared with younger women. The current study had two groups, one of the study groups with maternal age above 35 years and other one was control group with age less than 35 years. Cases beyond 28 weeks of gestation, both primiparous and multiparous patients were included. Minimum 60 patients were included in each group. Gestational age, presentation, mode of delivery, indications for caesarean, maternal complications and foetal outcomes were analysed. Statistical tests were calculated using SPSS software version 20.0. P ≤ 0.05 was considered statistically significant. Results: In this study statistically significant difference in maternal complications like incidence of gestational diabetes, gestational hypertension and preterm labour were observed in advanced maternal age women. Conclusion: Increasing incidence of maternal complications both obstetric and medical were observed in the advanced age mothers (AMA). Pregnancy in women 35 years or older was associated with an increased risk of gestational diabetes mellitus (GDM) and caesarean delivery.

Description