+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Effect of maternal age on the course of labor--analysis of women over 40 years of age

, : Effect of maternal age on the course of labor--analysis of women over 40 years of age. Zeitschrift für Geburtshilfe und Neonatologie 201(3): 86-90

In order to determine the birth risk for pregnant women in the age group > or = 40, the delivery data of 143 pregnant women in this age group were retrospectively evaluated over a 3-year period. Here, 37 of these 143 women (25.9%) were primiparae. The following was examined: The number of prenatal examinations (including ultrasound examinations), the incidence of genetic examinations, the delivery methods with the percentage of surgical deliveries, complications at the time of delivery as well as the fetal outcome with APGAR values, umbilical artery pH, birth weights, neonatal morbidity and mortality. The delivery results were compared with representative populations of women between 20-29 years (n = 2252) and 30-39 years (n = 1980). Pregnancy in older women still ends significantly more often with cesarean section than in younger women. Here, the rate of cesarean sections was 32.7% compared to 21.9% in 30-39-year-olds and 15.8% in 20-29-year-olds. However, parity has an even greater influence on the mode of delivery than age. Only 30.1% of multi-parae over 40 years underwent surgical delivery (vaginal and abdominal) compared to 77.3% of primiparae. It was also found that multiparae more rarely had surgical delivery than younger primiparae (30-39 years 53.3%, 20-29 years 39.3%). Despite the high surgical delivery rate being in the group of primiparae over 40 years, the fetal outcome was comparatively poor, so that the less restrictive indication for surgical delivery seems justified.


PMID: 9303787

Other references

Houghton, I.T., 2007: Configuration of draw-over anaesthetic breathing system. Anaesthesia 62(3): 295-295

Berentsen, P.B.M.; Giesen, G.W.J.; Renkema, J.A., 1997: Economic and environmental consequences of technical and institutional change in Dutch dairy farming. A linear programming model of a dairy farm was used to explore the future for different types of Dutch dairy farms under different scenarios. The scenarios are consistent sets of changing factors that are considered external at farm level. The fac...

Dolan, M., 1995: Legal strategies against violence in the households of urban communities of Managua. Although domestic violence against women has a long history in Nicaragua, it did not receive national public attention until a 1985 study that was conducted by the Legal Office for Women (OLM) of the Sandinista Women¿s organization. AMNLAE showed...

Oliyai, R.; Stella, V.J., 1995: Structural factors affecting the kinetics of O,N-acyl transfer in potential O-peptide prodrugs. In the present study, the conversion kinetics of a number of 0-peptide prodrugs have been investigated to elucidate the importance of side chain bulkiness, backbone cyclization and the reactive amine moiety. The significant difference in the chemi...

Vindry, C.; Marnef, A.; Broomhead, H.; Twyffels, L.; Ozgur, S.; Stoecklin, G.; Llorian, M.; Smith, C.W.; Mata, J.; Weil, D.; Standart, N., 2017: Dual RNA Processing Roles of Pat1b via Cytoplasmic Lsm1-7 and Nuclear Lsm2-8 Complexes. Pat1 RNA-binding proteins, enriched in processing bodies (P bodies), are key players in cytoplasmic 5' to 3' mRNA decay, activating decapping of mRNA in complex with the Lsm1-7 heptamer. Using co-immunoprecipitation and immunofluorescenc...

Shaw, I.Neeraj.; Christian, M.; Jesudasan, K.; Kurian, N.; Rao, G.S., 2003: Effectiveness of multidrug therapy in multibacillary leprosy: a long-term follow-up of 34 multibacillary leprosy patients treated with multidrug regimens till skin smear negativity. The World Health Organization (WHO) Field Trials of multidrug therapy (MDT) started at Schieffelin Leprosy Research and Training Centre (SLR & IC), Karigiri, India in December 1981. The patients were treated with two MDT regimens. The first (regim...

Metcalfe, S.; Crausaz, S.; Moodie, P.; McNee, W., 2005: PHARMAC's response on temozolomide and funding costly medicines that prolong life shortly. New Zealand Medical Journal 118(1227): U1806-U1806

Aguillera, M.M.; Nardo, E.A.B. de, 2002: Entomopathogenic nematodes: research and implementation in South America countries. An overview on entomophilic nematodes (EPN; Steinernema spp. and Heterorhabditis spp.) studies and use in South America is presented. The natural occurrence, life cycle and ecology of EPN are briefly described. Comments and suggestions on research...

Brashear R.E.; Martin R.R.; Ross J.C., 1968: Trans pulmonary histamine dynamics in vivo with hypoxia and 48 80 metab p methoxyphenethyl methylamine condensation product with formaldehyde metab abstract dog. Clinical Research 16(3): 472

Stachel, H.D.etrich; Zeitler, K.; Lotter, H., 1994: Synthesis of azaanalogues of ascorbic acid and isoascorbic acid. Liebigs Annalen der Chemie 0(11): 1129-1142