Wadhawan S, Narone R K, Narone J N, Wacha D S
Med J Zambia. 1981 Feb-Mar;15(2):37-40.
The Obstetrical performance of elderly parturients (aged 40 and above) who delivered at the University Teaching Hospital, Lusaka during 1979 and 1980, has been analysed. There were 39,109 deliveries in the two years period, out of which 391 mothers were of 40 years or above, giving an incidence of 1.0%. There were 32 mothers above the age of 45, an incidence of 0.08%. Analysis of these mothers revealed that 87.2% of them were grand multipara with maximum parity of 16. Incidence of breech, toxaemia, malpresentation and multiple pregnancy were observed in the series but there was no maternal death recorded in the present study. History of abortion in previous pregnancies ranging from 1 to 5 was noted in 43 cases. Operative deliveries were noted in 22% cases, out of which 13% were delivered by caesarean section and 9% had to undergo operative vaginal interference. In the foetal outcome, high rates of prematurity (71/1,000) and perinatal death (138/1,000) were noted. Relations of birth weights, age and parity of mothers with preventable factors are discussed.
对1979年至1980年期间在卢萨卡大学教学医院分娩的高龄产妇（40岁及以上）的产科情况进行了分析。在这两年期间共有39109例分娩，其中391名母亲年龄在40岁及以上，发生率为1.0%。45岁以上的母亲有32名，发生率为0.08%。对这些母亲的分析显示，其中87.2%为经产妇，最高产次为16次。该系列观察到臀位、毒血症、胎位异常和多胎妊娠的发生率，但本研究中未记录到孕产妇死亡情况。43例有既往1至5次流产史。22%的病例有手术分娩情况，其中13%通过剖宫产分娩，9%不得不接受阴道手术干预。在胎儿结局方面，观察到早产（71/1000）和围产期死亡（138/1000）的发生率较高。讨论了母亲的出生体重、年龄和产次与可预防因素之间的关系。
