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Korean Journal of Obstetrics & Gynecology 2006;49(2):293-308.
Published online February 1, 2006.
Meta Analysis of Clinical Studies of Pregnancy and Delivery in Elderly Gravida.
Jae Ho Choi, Hyun Ju Han, Jeong Hye Hwang, Sung Ro Chung, Hyung Moon, Moon Il Park, Kyung Joon Cha, Hang Suk Choi, Jae Eung Oh, Young Sun Park
1Department of Obstetrics and Gynecology, College of Medicine, Hanyang University, Seoul, Korea. parkmi@hanyang.ac.kr
2Statistical Information Analysis Center, College of Natural Sciences, Hanyang University, Seoul, Korea.
3Department of Mechanical Engineering, Hanyang University, Seoul, Korea.
Abstract
OBJECTIVE
Our purpose was to identify the age-related inceased risks of the elderly gravida over 35 or 40 years at delivery by clarifying the effects of age and parity, their combination, and their interaction and the relationships of other complications. METHODS: We have made meta analysis about general and clinical characteristics of elderly gravida over the aged 35 or 40 years, based on the 7 domestic theses since 1996 year at the department of Obstetrics and Gynecology. RESULTS: The results were obtained as follows; In elderly gravida over the aged 35 or 40 years at delivery, maternal and neonatal outcomes were generally good, but in study group, there were a high incidence of gestational (preterm delivery, fetal presentation, pregnancy-induced hypertension, gestational diadetes, placenta previa, premature rupture of membranes) complications, uterine myoma during pregnancy and low birth weight in neonate after delivery. CONCLUSION: The increased risks of the elderly gravida over the aged 35 or 40 years at delivery may have been overshadowed by the previous focus on the elderly nullipara. In spite of high incidence of maternal morbidity, the overall maternal and neonatal outcomes were generally good. It is important to recognize what is more important in age-related pregnant-risks of the elderly gravida over the aged 35 or 40 years at delivery to appropriate counsel and manage this group of patients. This informations may be helpful for counsel in elderly gravida over the aged 35 or 40 years who are considering pregnancy.
Key Words: Meta analysis, Elderly gravida


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