Is pregnancy over 45 with very high parity related with adverse maternal and fetal outcomes?

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dc.contributor.authorKale, A.
dc.contributor.authorKuyumcuoglu, U.
dc.contributor.authorGuzel, A.
dc.date.accessioned2024-04-24T17:37:35Z
dc.date.available2024-04-24T17:37:35Z
dc.date.issued2009
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: To examine whether very high parity and age over 45 years are related with adverse maternal and fetal outcomes. Study Design: This study was carried out at the Department of Obstetrics and Gynecology from January 1, 2007 to December 31, 2007. Sixty-one pregnant women were enrolled in this prospective study. Mothers were classified in two groups: the study group (n = 23) included women with very high parity over 45 years of age (age > 45 and >= 10 previous live births), and a control group (n = 38) included women with high parity between 40-45 years of age (between 40-45 years and 5-9 previous live births). Hypertensive disorders complicating pregnancy, preterm labor, breech presentation, cesarean section ratio, mean APGAR scores, birthweight, fetal sex, fetal macrosomia, and early neonatal death were compared within groups. Results: Six (26%) patients in the study group and 12 (31.5%) patients in the control group had hypertensive disorders of pregnancies (p > 0.05). Twelve (52.1%) patients in the study group and 22 (57.8%) patients in the control group had preterin labor (p > 0.05). One (4%) patient in the study group and two (5.2%) patients in the control group had breech presentation during delivery (p > 00.5). Twelve (52.1%) patients in the study group and 21 (55.2%) patients in the control group had cesarean operations (p > 0.05). Mean APGAR scores (at 1 min and 5 min), mean birthweight, fetal sex ratio, fetal macrosomia ratio, and early neonatal death ratio due to prematurity were not statistically significant in the study group as compared with the control group. Conclusion: It is generally assumed that women with advanced age have an increased risk for complications during pregnancy. However, prospective population-based studies do not exist and available publications give conflicting views. Based on our results, we hypothesized that cases aged 45 or over with very high parity are not always related with adverse maternal and fetal outcomes.en_US
dc.identifier.endpage122en_US
dc.identifier.issn0390-6663
dc.identifier.issue2en_US
dc.identifier.pmid19688957
dc.identifier.scopus2-s2.0-67649780089
dc.identifier.scopusqualityQ4
dc.identifier.startpage120en_US
dc.identifier.urihttps://hdl.handle.net/11468/21049
dc.identifier.volume36en_US
dc.identifier.wosWOS:000266881700016
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherI R O G Canada, Incen_US
dc.relation.ispartofClinical and Experimental Obstetrics & Gynecology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHigh Parityen_US
dc.subjectPregnancyen_US
dc.subjectAgeen_US
dc.titleIs pregnancy over 45 with very high parity related with adverse maternal and fetal outcomes?en_US
dc.titleIs pregnancy over 45 with very high parity related with adverse maternal and fetal outcomes?
dc.typeArticleen_US

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