产妇年龄对妊娠结局及剖宫产率的影响。
Effect of maternal age on pregnancy outcome and cesarean delivery rate.
作者信息
Benli Ali Ramazan, Cetin Benli Neriman, Usta Abdullah Taner, Atakul Tolga, Koroglu Mustafa
机构信息
Department of Family Medicine, Faculty of Medicine, Karabuk University, Karabuk, Turkey.
Baglar ASM, Safranbolu, Karabuk, Turkey.
出版信息
J Clin Med Res. 2015 Feb;7(2):97-102. doi: 10.14740/jocmr1904w. Epub 2014 Nov 19.
BACKGROUND
The aims of this retrospective study were to evaluate the maternal and prenatal outcomes between 35 years and older pregnancies and younger pregnancies, and the effects of the age of pregnancy, mother and newborn.
METHODS
Pregnant women who gave birth in Vakif Gureba Training and Research Hospital, Clinic of Obstetrics and Gynecology in 2006 were retrospectively screened. Pregnant women aged 35 years and over were included in this study and the pregnant women between age range of 30 - 34 years were included in the control group.
RESULTS
Pregnancy rate was found as 7.1% in 35 years and older women in all the deliveries, cesarean delivery rate was found as 46.1% in this group at 1 year period. However, cesarean delivery rate was 40.9% in the control group. Cesarean delivery rate was found as 31.6% in all the deliveries. The most common cause of cesarean section indication was fetal distress in advanced maternal age (AMA) (11.7%), whereas previous cesarean section was found as the most common cause in the control group (15.1%).
CONCLUSION
No significant difference was found between AMA group and normal pregnancies in terms of preterm labor, caesarian section, morbidity, mortality and chronic diseases such as hypertension and diabetes mellitus.
背景
本回顾性研究的目的是评估35岁及以上孕妇与年轻孕妇的母儿结局，以及妊娠年龄、母亲年龄和新生儿年龄的影响。
方法
对2006年在瓦基夫古雷巴培训与研究医院妇产科分娩的孕妇进行回顾性筛查。本研究纳入35岁及以上的孕妇，对照组纳入年龄在30 - 34岁之间的孕妇。
结果
在所有分娩中，35岁及以上女性的妊娠率为7.1%，该组1年内的剖宫产率为46.1%。然而，对照组的剖宫产率为40.9%。所有分娩中的剖宫产率为31.6%。高龄产妇剖宫产指征的最常见原因是胎儿窘迫（11.7%），而对照组最常见的原因是既往剖宫产史（15.1%）。
结论
高龄产妇组与正常妊娠组在早产、剖宫产、发病率、死亡率以及高血压和糖尿病等慢性疾病方面未发现显著差异。
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