1Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 2School of Dental Medicine, University of Zagreb, Zagreb, Croatia.
Acta Clin Croat. 2021 Jun;60(2):290-295. doi: 10.20471/acc.2021.60.02.16.
The objective of this study was to assess the relationship between women's age and risk of pregnancy-related complications. The study was a retrospective cohort analysis of the pregnancy-related complications and outcomes between two age groups of parturient women. Categorical data were expressed as absolute and relative frequencies. Statistical analysis was performed using χ-test. The incidence of gestational diabetes was higher in the 40-47 age group as compared with the 20-24 age group. The rates of hypertension, preeclampsia, intrahepatic cholestasis of pregnancy and hypothyroidism did not differ between the two groups. The rates of labor induction, oxytocin use, vaginal delivery, and need for episiotomy were higher in younger age group. Dystocia and breech presentation as indications for cesarean section were more common among younger women. According to study results, the risk of gestational diabetes and rates of cesarean delivery increased with advanced maternal age.
本研究旨在评估女性年龄与妊娠相关并发症风险之间的关系。该研究是对两个年龄组产妇妊娠相关并发症和结局进行的回顾性队列分析。分类数据表示为绝对和相对频率。采用 χ 检验进行统计学分析。与 20-24 岁年龄组相比，40-47 岁年龄组的妊娠期糖尿病发病率更高。两组间高血压、子痫前期、妊娠肝内胆汁淤积症和甲状腺功能减退症的发生率无差异。年轻组的引产率、催产素使用率、阴道分娩率和会阴切开术需求较高。因难产和臀位行剖宫产的指征在年轻女性中更为常见。根据研究结果，随着产妇年龄的增加，妊娠糖尿病的风险和剖宫产率增加。
