TITLE:
Adverse pregnancy outcomes in extremely maternal age
AUTHORS:
Saifon Chawanpaiboon, Pattaya Hengrasmee
KEYWORDS:
Adverse Pregnancy Outcome; Extremely Maternal Age; Young Maternal Age; Advanced Maternal Age
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.3 No.4,
June
3,
2013
ABSTRACT: Objective:
To study the adverse outcome in pregnant women ≤ 16 and ≥ 40 years. Study
Design: A total of 1100 cases, 1061 cases of pregnant women ≤ 16 years, 20 - 29
and ≥ 40 years with completed charts between 1st January, 2006 to 31st
December, 2010, were enrolled in this study. The patient data includeing demographic
data, hospital course, maternal laboratory investigations,
maternal complications, placental complications and neonatal outcomes
were recorded. SPSS version 14, one-way Anowa, Chi-square and analysis
of varience were used to compare the data among two and three groups. Results:
Anemia, underlying medical diseases including heart, thyroid and pulmonary
diseases, obstetric complications including severe pre-eclampsia and
gestational diabetes mellitus, placenta
previa and preterm labour; medical administrations including magnesium
sulfate, dexamethasone and bricanyl, outcome of deliveries and neonatal
outcomes, were different with statistical significance between the 3 groups
of pregnant women. Conclusion: Adverse maternal and neonatal outcomes were
mostly found in the pregnant women ≤ 16 and ≥ 40 years. Education of contraception,
safe sex and effective care during pregnancy of both extremely maternal age
groups should be implemented to reduce those poor outcomes.