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Management of elderly primiparous women: Pregnancy and Delivery

Management of elderly primiparous women: Pregnancy and Delivery

Paperback

Medical Reference

ISBN10: 6208081610
ISBN13: 9786208081614
Publisher: Our Knowledge Publishing
Published: Sep 13 2024
Pages: 56
Weight: 0.21
Height: 0.13 Width: 6.00 Depth: 9.00
Language: English
The frequency of first pregnancies after the age of 38 is increasing steadily in Tunisia and the average age of first childbirth is now 40. Aim: To identify the profile of primiparous women over 38 years of age and the maternal, foetal and obstetric complications. Materials and Methods: We conducted a retrospective study in 2021/2022 of 50 cases in the obstetrics and gynaecology department of the Monastir maternity and neonatology centre. Results. The frequency was 0.58%, complications such as arterial hypertension, gestational diabetes, premature rupture of membranes, placenta previa and caesarean section deliveries were 6%, 34%, 14%, 2% and 84% respectively. Neonatal morbidity concerned 7 newborns, 14% of whom died in utero. Conclusion: Maternal age is a factor in complications during pregnancy and childbirth. Regular monitoring therefore ensures a fairly favourable prognosis for the outcome of these pregnancies, and monitoring must be multidisciplinary in order to intervene effectively in the event of any complications.

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Bergaoui, Hayfa

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Medical Reference