[Evaluation of the clinical status of newborn infants born to elderly primiparae and multiparae].

The clinical condition of 184 newborns born by primipara older than 35 years and 500 randomisly selected newborns born by multipara older than 35 years in 27,821 newborns born at 1st Department of Obstetrics and Gynecology in Bytom between 1975 and 1985 has been analysed. The results were compared with the results of the control group of 500 randomisly selected newborns born by primipara younger than 35 years. It was observed that newborns of mothers older than 35 years and specially primipara are biologically weaker than newborns of mothers of the optimal reproduction age. There are often born with signs of prematurity and intrauterine dystrophy, have lower body weight, higher incidence of developmental anomaly, labour complications and adaptation difficulties during early neonatal period. The importance was stressed of the monitoring of pregnancy and delivery in this patients as well as the intensive perinatal pharmacotherapy in the newborns, to decrease perinatal mortality.