Cargando…
Pregnancy outcomes at advanced maternal age in a tertiary Hospital, Jeddah, Saudi Arabia
OBJECTIVES: To evaluate obstetrical and fetal outcomes among advanced maternal age (AMA) women. METHODS: Retrospective cohort study carried out at a teaching hospital, Jeddah, Saudi Arabia, during 18 years period (from January 2003 until December 2020). A total of 79095 women gave birth, and randomi...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Saudi Medical Journal
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9280590/ https://www.ncbi.nlm.nih.gov/pubmed/35537719 http://dx.doi.org/10.15537/smj.2022.43.5.20220023 |
_version_ | 1784746682205863936 |
---|---|
author | AlJahdali, Ettedal A. AlSinani, Nawal S. |
author_facet | AlJahdali, Ettedal A. AlSinani, Nawal S. |
author_sort | AlJahdali, Ettedal A. |
collection | PubMed |
description | OBJECTIVES: To evaluate obstetrical and fetal outcomes among advanced maternal age (AMA) women. METHODS: Retrospective cohort study carried out at a teaching hospital, Jeddah, Saudi Arabia, during 18 years period (from January 2003 until December 2020). A total of 79095 women gave birth, and randomized block was used to include 4318 singleton pregnancy women (>28 gestational weeks), of them 2162 age ≥40 years. Associations between AMA and obstetrical and fetal parameters were assessed. RESULTS: Advanced maternal age independently associated with non-Saudi national, mother’s weights 80-99 kg, diabetes mellitus, and hypertension. Advanced maternal age mothers were more liable to premature rupture of membranes (PROM), caesarean (CS) deliveries, and postpartum hemorrhage. Newborn of AMA women were at high risk of birth weight <2500 g, birth weight 3600-4500 g, decline Apgar score at 5 minutes, and neonatal intensive care unit (NICU) admissions. CONCLUSION: Advanced maternal age is an independent risk factor for adverse obstetric hazards as CS, antepartum haemorrhage, diabetes mellitus, hypertension, PROM, postpartum hemmorage, and fetal complications as low birth weight, macrosomia, NICU admission, congenital anomalies, and low Apgar score. These results must be carefully considered by maternal care providers to effectively improve clinical surveillance. |
format | Online Article Text |
id | pubmed-9280590 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Saudi Medical Journal |
record_format | MEDLINE/PubMed |
spelling | pubmed-92805902022-07-22 Pregnancy outcomes at advanced maternal age in a tertiary Hospital, Jeddah, Saudi Arabia AlJahdali, Ettedal A. AlSinani, Nawal S. Saudi Med J Original Article OBJECTIVES: To evaluate obstetrical and fetal outcomes among advanced maternal age (AMA) women. METHODS: Retrospective cohort study carried out at a teaching hospital, Jeddah, Saudi Arabia, during 18 years period (from January 2003 until December 2020). A total of 79095 women gave birth, and randomized block was used to include 4318 singleton pregnancy women (>28 gestational weeks), of them 2162 age ≥40 years. Associations between AMA and obstetrical and fetal parameters were assessed. RESULTS: Advanced maternal age independently associated with non-Saudi national, mother’s weights 80-99 kg, diabetes mellitus, and hypertension. Advanced maternal age mothers were more liable to premature rupture of membranes (PROM), caesarean (CS) deliveries, and postpartum hemorrhage. Newborn of AMA women were at high risk of birth weight <2500 g, birth weight 3600-4500 g, decline Apgar score at 5 minutes, and neonatal intensive care unit (NICU) admissions. CONCLUSION: Advanced maternal age is an independent risk factor for adverse obstetric hazards as CS, antepartum haemorrhage, diabetes mellitus, hypertension, PROM, postpartum hemmorage, and fetal complications as low birth weight, macrosomia, NICU admission, congenital anomalies, and low Apgar score. These results must be carefully considered by maternal care providers to effectively improve clinical surveillance. Saudi Medical Journal 2022-05 /pmc/articles/PMC9280590/ /pubmed/35537719 http://dx.doi.org/10.15537/smj.2022.43.5.20220023 Text en Copyright: © Saudi Medical Journal https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. |
spellingShingle | Original Article AlJahdali, Ettedal A. AlSinani, Nawal S. Pregnancy outcomes at advanced maternal age in a tertiary Hospital, Jeddah, Saudi Arabia |
title | Pregnancy outcomes at advanced maternal age in a tertiary Hospital, Jeddah, Saudi Arabia |
title_full | Pregnancy outcomes at advanced maternal age in a tertiary Hospital, Jeddah, Saudi Arabia |
title_fullStr | Pregnancy outcomes at advanced maternal age in a tertiary Hospital, Jeddah, Saudi Arabia |
title_full_unstemmed | Pregnancy outcomes at advanced maternal age in a tertiary Hospital, Jeddah, Saudi Arabia |
title_short | Pregnancy outcomes at advanced maternal age in a tertiary Hospital, Jeddah, Saudi Arabia |
title_sort | pregnancy outcomes at advanced maternal age in a tertiary hospital, jeddah, saudi arabia |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9280590/ https://www.ncbi.nlm.nih.gov/pubmed/35537719 http://dx.doi.org/10.15537/smj.2022.43.5.20220023 |
work_keys_str_mv | AT aljahdaliettedala pregnancyoutcomesatadvancedmaternalageinatertiaryhospitaljeddahsaudiarabia AT alsinaninawals pregnancyoutcomesatadvancedmaternalageinatertiaryhospitaljeddahsaudiarabia |