Blanc B, Gamerre M, Adrai J, Merger C
Rev Fr Gynecol Obstet. 1984 Feb;79(2):109-14.
From the analysis of 190 case histories of elderly primiparas, the following conclusions were drawn concerning their pregnancy and delivery. Frequency = 0.6%. The high frequency of spontaneous abortion (26.8%) and infertility treatment (20.5%) should be stressed. Age-related obstetric pathology in the sample group is dominated by the high frequency of toxaemia (32.4%), premature delivery (14.3%) and uterine fibromata (17.3%). Dystocia is frequent: normal, unassisted vaginal deliveries: 32%; forceps: 33.2%; Caesarean section: 34.2%. Neonatal mortality remains high: 5.2% as does morbidity (Apgar less than 7: 29.6%).
通过对190例高龄初产妇病历的分析，得出了关于她们妊娠和分娩情况的以下结论。发生率为0.6%。应强调自然流产（26.8%）和不孕治疗（20.5%）的高发生率。样本组中与年龄相关的产科病理情况主要表现为毒血症发生率高（32.4%）、早产（14.3%）和子宫肌瘤（17.3%）。难产情况较为常见：正常、无需辅助的阴道分娩占32%；产钳助产占33.2%；剖宫产占34.2%。新生儿死亡率仍然很高，为5.2%，发病率也很高（阿氏评分低于7分：29.6%）。
