A Clinical and Statistical Study on Pregnancy of Elderly Primipara.

Park, Chang Su; Kim, Hyeong Seon; Kwon, Mi Suk; Kim, Boo Cheol; Lee, Keum Nho; Lee, Young Ho

Original Article

Korean Journal of Obstetrics & Gynecology 1999;42(8):1695-1700.
Published online January 1, 2001.

A Clinical and Statistical Study on Pregnancy of Elderly Primipara.

Chang Su Park, Hyeong Seon Kim, Mi Suk Kwon, Boo Cheol Kim, Keum Nho Lee, Young Ho Lee

Abstract

OBJECTIVE
Recently, the incidence of elderly primipara is increasing. Thus, impact of old age on pregnancy outcomes became important. Our purpose was to assess the effect of maternal age on pregnancy outcomes. METHODS: 73 cases of the elderly primipara over 35 years at the department of obstetrics and gynecology, Chon-ju presbyterian medical center, from Jan. 1, 1995 to Dec. 31, 1998, were compared with 73 cases randomly chosen young primiparas during same period. RESULTS: Elderly primipara had higher rate of infertility and spontaneous abortion history, antenatal complications, cesarean section, poorer neonatal outcome than young primipara. CONCLUSION: The pregnancy outcome of elderly primipara is considered to be less favorable than those of young primipara. Careful antenatal and intrapartal care should be performed for the elderly primipara. We think that many clinical study of congenital anomaly in elderly primipara will be necessary.

Key Words: Elderly primipara, young primipara