ISSN 0975-3583

Journal of Cardiovascular Disease Research

    Study of Maternal and Fetal Outcome in elderly Primigravida

    Dr. Nishat Fatima, Dr. Kirti Singh, Dr. Zoya Kausar
    JCDR. 2023: 1195-1197


    The elderly primigravida is defined as a women who goes into pregnancy for the first time at the age of 35yrs or more. Increasing importance of education and postponement of marriage and childbearing in order to persue carrier options has led to increase in the population of eldely primigravida .This along with advancement in Assisted reproductive technology has lead to increase in more and more women conceiving for the first time after the age of 35 yrs. Nevertheless the increased fetomaternal complication and consideration as a high risk leading to early intervention among this age group is of concern. Objective: The objective of the study was to find out incidence and to determine fetomaternal outcome in elderly primigravida. Materials and methods: This was a cross sectional study conducted in the Department of obstetrics and gynaecology,MGMMC,Indore from march 2019 to march 2020 for a period of 1 year. Elerly primigravida admitted at term were studied for fetomaternal outcome. Results: Of the total 18050 deliveries,306 were elderly primigravida . Maternal complications seen were oligohydramnios5.8%, Gestational hypertension 2.8%,Breech presentation 5.3%,PROM 3.8%,Placenta previa 2.8%,Gestational diabetes 1.2% and Twin pregnancy 2.2%. Caesarean section rate was 62.4%..Out of which 26.8% were done for cephalopelvic disproportion. 6.6% babies were low birthweight. Conclusion: Although fetomaternal complications are increased in elderly primigravida is increased but with adequate antenatal care, early recognition of complications and timely intervention optimum outcome can be expected



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    Volume 14 Issue 5