ABSTRACT
Aim
Age at delivery has increased in the past decades, leading to a continuous growth of the number of women planning a pregnancy after the age of forty. Because delivering after this age is associated with an increased rate of maternal complications, the objective of this study was to analyze the delivery related issues in women ≥40 years of age.
Materials and methods
This was a retrospective study conducted in the 1st Clinic of Obstetrics and Gynecology, Cluj-Napoca in a 3-year period. One hundred and forty-two patients ≥40 years of age that delivered between 2010 and 2012 were included in the analysis.
Results
The frequency of deliveries after the age of 40 was 2.42% of all the deliveries. Eighty percent of nulliparous and 51.72% of multiparous women delivered by cesarean section. A significantly higher percentage of primiparous women delivered by cesarean section compared to secundiparous women (p = 0.0007). Fetal weight was significantly higher in multiparous than in primiparous women in the CS group (p = 0.01). No differences were observed between the Apgar scores according to the delivery mode or parity in the study group.
Conclusion
Delivery after 40 years of age is associated with an increased number of obstetrical interventions.
Abbreviations
CS: Cesarean section; 1p: Primiparous; 2p: Secundiparous; 3p: Tertiparous; >1p: Multiparous.
How to cite this article
Rotar I, Muresan D, Tanc M, Cotutiu P, Giurgiu C, Stamatian F. Childbearing after 40 Years: A Challenge of the Modern Obstetrics. Donald School J Ultrasound Obstet Gynecol 2014;8(2):144-148.
Re: Cerebroplacental ratio thresholds measured within 2 weeks before birth and risk of Cesarean section for intrapartum fetal compromise and adverse neonatal outcome. L. N. Bligh, A. A. Alsolai, R. M. Greer and S. Kumar. Ultrasound Obstet Gynecol 2018; 52
