Pregnancy Outcomes in Advanced Maternal Age in Maharat Nakhon Ratchasima Hospital. ผลของการตั้งครรภ์ในสตรีตั้งครรภ์อายุมากที่มาคลอดในโรงพยาบาลมหาราชนครราชสีมา

บทคัดย่อ

          This retrospective study aimed to study the pregnancy outcomes in advanced maternal age in Maharat Nakhon Ratchasima Hospital. The pregnancy outcomes of women aged 35 years or older were compared with those of women aged 20-34 years. The data of pregnant women delivered at Maharat Nakhon Ratchasima Hospital were collected from hospital data base from January 1, 2013 to December 31, 2013. Descriptive statistics, Chi square and Fisher’s exact test were used to analyze the results of the study.

          The results indicated that of 8,267 pregnant women delivered in the year 2013, 1,554 (17.8%) were women aged 35 years or older and 6,713 (81.2%) were women aged 20-34 years. The pregnancy outcomes of advanced maternal aged group were significantly different from those of non-advanced maternal aged group in cesarean section rate (p < 0.05), preterm births (<37 weeks) (p < 0.01), gestational diabetes (p < 0.01), pregnancy induced hypertension (p = 0.01), HELLP syndrome (p < 0.01), eclampsia (p = 0.03), placenta previa (p = 0.01), premature rupture of membranes (p = 0.05), CPD (p < 0.01), fetal distress (p = 0.03), postpartum hemorrhage (p < 0.01), low birth weight (<2,500 grams) and low 1 minute Apgar score (<7) (p < 0.01)

          This study showed that complications of pregnancy and labor were increased in pregnant women aged 35 years or older compared to pregnant women aged 20-34 years. Therefore, the risk of complication should be screened to gain appropriate care of them.

           Keywords : Advanced maternal age, Pregnancy, Pregnancy outcome