Pregnancy Outcome among Elderly Primigravidae: A Five-year Review at Abakaliki, Ebonyi State, Nigeria
Introduction: Maternal age is an important determinant of pregnancy outcome and women aged 35 years or more at their first pregnancy are considered high risk pregnancy due to increased risk of feto-maternal morbidity and mortality. Aim: To evaluate the outcome of pregnancy in primigravid women who w...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2019-01-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/12431/37879_CE[Ra1]_F(AC_SL)_PF1(AB_KM)_PN(SL).pdf |
| _version_ | 1819262820755177472 |
|---|---|
| author | Okechukwu Bonaventure Anozie Johnbosco Emmanuel Mamah Chidi U Esike Obiora Godfrey Asiegbu Lucky Osaheni Lawani Justus Ndulue Eze Robinson Chukwudi Onoh |
| author_facet | Okechukwu Bonaventure Anozie Johnbosco Emmanuel Mamah Chidi U Esike Obiora Godfrey Asiegbu Lucky Osaheni Lawani Justus Ndulue Eze Robinson Chukwudi Onoh |
| author_sort | Okechukwu Bonaventure Anozie |
| collection | DOAJ |
| description | Introduction: Maternal age is an important determinant of pregnancy outcome and women aged 35 years or more at their first pregnancy are considered high risk pregnancy due to increased risk of feto-maternal morbidity and mortality. Aim: To evaluate the outcome of pregnancy in primigravid women who were aged 35 years and above. Materials and Methods: A five-year retrospective study among elderly primigravidae was conducted. The study assessed 78 booked primigravidae aged 35 years or more who delivered at the Federal Teaching Hospital Abakaliki from 1st January 2012 to 31st December 2016. Each elderly primigravida was matched with two primigravid women aged 20-25 years who delivered during the same period. Postnatal visit was also assessed. Results: During the study period, there were 11,329 deliveries and 78 of these were elderly primigravidae giving an incidence of 0.69% or 1:145 deliveries. The mean age of the elderly primigravidae was 36.28±1.20 years. The study group had more antepartum complications with anaemia, antepartum haemorrhage, hypertensive disorders of pregnancies, diabetes mellitus and preterm labour (p<0.05). Intrapartum complications such as poor progress of labour and cephalo-pelvic disproportion were also significantly higher. Almost half of the study group were delivered by caesarean section, the commonest indication being maternal request based on prolonged infertility (16.67%). The study group had higher incidence of preterm delivery and perinatal mortality of significant proportion. However, they were more likely to come for the 6th week postnatal visit 71.2% versus 32.1%. Conclusion: The problems of elderly primigravidae are still germane and relevant in present day obstetrics. Efforts should be intensified towards identifying this high-risk group with a view to take proactive measures aimed at minimising pregnancy related complications so as to achieve the best outcome for them and their babies. |
| first_indexed | 2024-12-23T20:03:46Z |
| format | Article |
| id | doaj.art-efb5b9a8ff054760b257420834238946 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-23T20:03:46Z |
| publishDate | 2019-01-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-efb5b9a8ff054760b2574208342389462022-12-21T17:33:01ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2019-01-01131QC01QC0410.7860/JCDR/2019/37879.12431Pregnancy Outcome among Elderly Primigravidae: A Five-year Review at Abakaliki, Ebonyi State, NigeriaOkechukwu Bonaventure Anozie0Johnbosco Emmanuel Mamah1Chidi U Esike2Obiora Godfrey Asiegbu3Lucky Osaheni Lawani4Justus Ndulue Eze5Robinson Chukwudi Onoh6Consultant, Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.Senior Registrar, Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.Consultant, Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.Consultant, Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.Consultant, Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.Consultant, Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.Consultant, Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.Introduction: Maternal age is an important determinant of pregnancy outcome and women aged 35 years or more at their first pregnancy are considered high risk pregnancy due to increased risk of feto-maternal morbidity and mortality. Aim: To evaluate the outcome of pregnancy in primigravid women who were aged 35 years and above. Materials and Methods: A five-year retrospective study among elderly primigravidae was conducted. The study assessed 78 booked primigravidae aged 35 years or more who delivered at the Federal Teaching Hospital Abakaliki from 1st January 2012 to 31st December 2016. Each elderly primigravida was matched with two primigravid women aged 20-25 years who delivered during the same period. Postnatal visit was also assessed. Results: During the study period, there were 11,329 deliveries and 78 of these were elderly primigravidae giving an incidence of 0.69% or 1:145 deliveries. The mean age of the elderly primigravidae was 36.28±1.20 years. The study group had more antepartum complications with anaemia, antepartum haemorrhage, hypertensive disorders of pregnancies, diabetes mellitus and preterm labour (p<0.05). Intrapartum complications such as poor progress of labour and cephalo-pelvic disproportion were also significantly higher. Almost half of the study group were delivered by caesarean section, the commonest indication being maternal request based on prolonged infertility (16.67%). The study group had higher incidence of preterm delivery and perinatal mortality of significant proportion. However, they were more likely to come for the 6th week postnatal visit 71.2% versus 32.1%. Conclusion: The problems of elderly primigravidae are still germane and relevant in present day obstetrics. Efforts should be intensified towards identifying this high-risk group with a view to take proactive measures aimed at minimising pregnancy related complications so as to achieve the best outcome for them and their babies.https://jcdr.net/articles/PDF/12431/37879_CE[Ra1]_F(AC_SL)_PF1(AB_KM)_PN(SL).pdfadvanced maternal agematernal morbidityparturientperinatal complicationsreproductive outcome |
| spellingShingle | Okechukwu Bonaventure Anozie Johnbosco Emmanuel Mamah Chidi U Esike Obiora Godfrey Asiegbu Lucky Osaheni Lawani Justus Ndulue Eze Robinson Chukwudi Onoh Pregnancy Outcome among Elderly Primigravidae: A Five-year Review at Abakaliki, Ebonyi State, Nigeria Journal of Clinical and Diagnostic Research advanced maternal age maternal morbidity parturient perinatal complications reproductive outcome |
| title | Pregnancy Outcome among Elderly Primigravidae: A Five-year Review at Abakaliki, Ebonyi State, Nigeria |
| title_full | Pregnancy Outcome among Elderly Primigravidae: A Five-year Review at Abakaliki, Ebonyi State, Nigeria |
| title_fullStr | Pregnancy Outcome among Elderly Primigravidae: A Five-year Review at Abakaliki, Ebonyi State, Nigeria |
| title_full_unstemmed | Pregnancy Outcome among Elderly Primigravidae: A Five-year Review at Abakaliki, Ebonyi State, Nigeria |
| title_short | Pregnancy Outcome among Elderly Primigravidae: A Five-year Review at Abakaliki, Ebonyi State, Nigeria |
| title_sort | pregnancy outcome among elderly primigravidae a five year review at abakaliki ebonyi state nigeria |
| topic | advanced maternal age maternal morbidity parturient perinatal complications reproductive outcome |
| url | https://jcdr.net/articles/PDF/12431/37879_CE[Ra1]_F(AC_SL)_PF1(AB_KM)_PN(SL).pdf |
| work_keys_str_mv | AT okechukwubonaventureanozie pregnancyoutcomeamongelderlyprimigravidaeafiveyearreviewatabakalikiebonyistatenigeria AT johnboscoemmanuelmamah pregnancyoutcomeamongelderlyprimigravidaeafiveyearreviewatabakalikiebonyistatenigeria AT chidiuesike pregnancyoutcomeamongelderlyprimigravidaeafiveyearreviewatabakalikiebonyistatenigeria AT obioragodfreyasiegbu pregnancyoutcomeamongelderlyprimigravidaeafiveyearreviewatabakalikiebonyistatenigeria AT luckyosahenilawani pregnancyoutcomeamongelderlyprimigravidaeafiveyearreviewatabakalikiebonyistatenigeria AT justusndulueeze pregnancyoutcomeamongelderlyprimigravidaeafiveyearreviewatabakalikiebonyistatenigeria AT robinsonchukwudionoh pregnancyoutcomeamongelderlyprimigravidaeafiveyearreviewatabakalikiebonyistatenigeria |