de Gregorio G, Quaas L, Hillemanns H G
Z Geburtshilfe Perinatol. 1987 Mar-Apr;191(2):60-3.
The course of pregnancy and delivery and the fetal outcome were analyzed in 23 women aged less than 16 years and 151 women aged 42 years or more. Most of the adolescent mothers were delivered spontaneously without any major problems. In patients aged 42 years and more there was a higher rate of pregnancy complications due to predisposing risks and a high incidence of prolonged labour, correlated to an increased frequency of operative deliveries and in general more active obstetrical management. Fetal outcome was good in both groups. The results demonstrate the necessity of intensive prenatal care in both groups. Whereas in young gravidae spontaneous delivery can be expected in most cases, the women with advanced maternal age do need an active obstetrical management including all the abilities of modern perinatal medicine. Intensive antenatal and perinatal care provided, the prognosis for mother and child can be estimated as good in both groups.
对23名年龄小于16岁的女性和151名年龄42岁及以上的女性的妊娠、分娩过程及胎儿结局进行了分析。大多数青春期母亲自然分娩，没有任何重大问题。在42岁及以上的患者中，由于易感风险导致的妊娠并发症发生率较高，产程延长的发生率也较高，这与手术分娩频率增加以及总体上更积极的产科管理相关。两组的胎儿结局均良好。结果表明两组都需要强化产前护理。鉴于大多数年轻孕妇可自然分娩，高龄产妇确实需要积极的产科管理，包括现代围产医学的所有技能。提供强化的产前和围产期护理后，两组母婴的预后均可估计为良好。
