Study of the neonatal outcomes in babies born to elderly mothers and young mothers
DOI:
https://doi.org/10.18203/2349-3291.ijcp20180566Keywords:
APGAR, Advanced maternal age, Low birth weight, Neonatal outcomeAbstract
Background: More and more women are focusing on obtaining higher education and reaching career objectives. This has in turn, lead to delayed marriage and child birth at a later age. Advanced maternal age at birth has been found to be associated with preterm delivery, low birth weight, intrauterine fetal death and increased perinatal morbidity and mortality. The aim of our study was to know the neonatal outcome in elderly mothers and young mothers, and to compare the neonatal outcome of these two groups.
Methods: Present study was a cross sectional, analytical case control study, done in babies delivered to mothers >35 years and <35 years. Information like period of gestation, birth weight, APGAR at 1 minute and 5 minutes, NICU admissions, neonatal outcome like respiratory distress, jaundice, convulsion, etc. were recorded in a proforma. Collected data was analysed using appropriate statistical tests.
Results: In the present study, total sample size was 460 (230 cases and 230 controls). Incidence of preterm deliveries, Low birth weight, NICU admissions were significantly more in case group (babies born to mothers >35 years) than the control group (babies born to mothers between 19 to 35 years).
Conclusions: It was observed that low birth weight, prematurity and NICU admissions were more common in babies born to elderly mothers.
Metrics
References
Ryu H. Should advance maternal age be a reasonable indication for invasive diagnostic testing?. Obstet Gynecol Sci. 2013;56(3):135.
Balasch J, Gratacos E. Delayed childbearing: Effects on fertility and the outcome of pregnancy. Fetal Diag Therapy. 2011;29:263-73.
Bayrampour H, Heaman M, Duncan KA, Tough S. Advanced maternal age and risk perception: A qualitative study. BMC Pregnancy Childbirth. 2012;12:100.
Ziadeh S, Yahaya A. Pregnancy outcome at age 40 and older. Arch Gynecol Obstet. 2001;265(1):30-3.
Singal N. Foetal and neonatal outcome in elderly mothers aged 35 years and above: comparative study. J Med Sci Clin Res. 2017;5(8).
Tough SC, Newburn-Cook C, Johnston DW, Svenson LW, Rose S, Belik J. Delayed childbearing and its impact on population rate changes in lower birth weight, multiple birth, and preterm delivery. Pediatr. 2002;109:399-403.
Jacobsson B, Ladfors L, Milsom I. Advanced maternal age and adverse perinatal outcome. Obstet Gynecol. 2004;104: 727-33.
Spellacy WN, Miller SJ, Winegar A. Pregnancy after 40 years of age. Obstet Gynecol. 1986;68:452-4.
Leyland AH, Boddy FA. Maternal age and outcome of pregnancy. N Engl J Med. 1990;323:413-4.
Eric C, Anne R, Camilia R, Ann R. A high risk newborn. Cloherty and Starks Manual of Neonatal Care. 2016:79-80.
Siddarth R. IAP Textbook of Pediatrics, 5th ed. Jaypee; 2016;2:32.
Berkowitz GS, Skovron ML, Lapinski RH, Berkowitz RL. Delayed childbearing and the outcome of pregnancy. N Engl J Med. 1990;322:659-64.
Minoo R, Sareh A, Fariba M. The effect of maternal age on pregnancy outcome. Asian J Med Sci. 2010;2(3):159-162.
Ates S, Batmaz G, Sevket O, Molla T, Dane C, Dane B. Pregnancy outcome of multiparous women aged over 40 years. Int J Reprod Med. 2013;1-4.