Mikulandra F, Perisa M, Merlak I, Stojnić E, Kimer M, Sikić D, Jerković J
Djelatnost za ginekologiju i porodnistvo, Sibenik.
Jugosl Ginekol Perinatol. 1990 Sep-Dec;30(5-6):137-41.
Pregnancy, delivery and the newborn infant of 212 old primiparas (aged greater than or equal to 35 years) and of 1968 age-matched old multiparas as controls were studied for the 1970-1989 period. The frequency of old primiparas and old multiparas was 0.9% and 4.1%, respectively, with no change for the 1970-1979 (1.0%) and 1980-1989 (0.8%) periods. The mean age in the old primiparous and old multiparous groups was 38.08 + 4.2 and 38.2 + 4.8 years, respectively (P greater than 0.05). The old primiparas had an average of 7.37 +/- 2.8 antenatal visits, whereas the old multiparas had 6.08 +/- 3.3 visits (P less than 0.05). The old primiparous group included more employees and fewer unskilled workers and housewives (P less than 0.05), more urban and unmarried pregnant women (P less than 0.001), whereas the old multiparas had more spontaneous and induced abortions (P less than 0.05). Threatened abortion (23.7%), EPH gestosis (20.3%), meconium-stained amniotic fluid (21.7%), caesarean section (35.8%), placental lysis or uterine exploration (6.6%) and episiotomy (100.0%) are more frequent in old primiparas than in old multiparas (P less than 0.05). The duration of labour in old primiparas tends to be longer: there was a significantly smaller number of pregnant women with an up 6-hour duration of labour (42.5%; P less than 0.05). The average duration of labour in the old primiparous and old multiparous groups was 8.18 +/- 5.40 and 5.89 +/- 3.80 hours, respectively (P less than 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)
对1970年至1989年期间212名高龄初产妇（年龄大于或等于35岁）以及1968名年龄匹配的高龄经产妇作为对照的妊娠、分娩及新生儿情况进行了研究。高龄初产妇和高龄经产妇的比例分别为0.9%和4.1%，1970年至1979年期间（1.0%）和1980年至1989年期间（0.8%）无变化。高龄初产妇组和高龄经产妇组的平均年龄分别为38.08±4.2岁和38.2±4.8岁（P＞0.05）。高龄初产妇平均进行7.37±2.8次产前检查，而高龄经产妇进行6.08±3.3次产前检查（P＜0.05）。高龄初产妇组中雇员较多，非技术工人和家庭主妇较少（P＜0.05），城市和未婚孕妇较多（P＜0.001），而高龄经产妇有更多的自然流产和人工流产（P＜0.05）。高龄初产妇中先兆流产（23.7%）、妊娠高血压综合征（20.3%）、羊水粪染（21.7%）、剖宫产（35.8%）、胎盘早剥或子宫探查（6.6%）以及会阴切开术（100.0%）的发生率高于高龄经产妇（P＜0.05）。高龄初产妇的产程往往更长：产程在6小时及以内的孕妇数量明显较少（42.5%；P＜0.05）。高龄初产妇组和高龄经产妇组的平均产程分别为8.18±5.40小时和5.89±3.80小时（P＜0.001）。（摘要截取自250字）
