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Clin Exp Obstet Gynecol. 2011;38(2):146-9.

Parity affects pregnancy outcomes in women 35 and older.

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  • 14th Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Greece.

Abstract

PURPOSE OF INVESTIGATION:

The objective of the study was to examine the impact of parity on pregnancy outcomes in women 35 years and older.

METHODS:

The study was a retrospective cohort of singleton pregnancies of women aged > or = 35 years old during the period 2004-2008. Women were divided in two groups: group 1 included primigravidas and group 2 those with at least one past labor. Epidemiological characteristics, obstetric and neonatal outcomes were analyzed using the t test and chi-square test.

RESULTS:

816 out of 5834 (14%) cases involved women aging > or = 35 years, 234 (28.7%) of which were nulliparous and 582 (61.3%) multiparous. Rate of cesarean section was 2.4 fold higher for primigravidas (p < .0001). Fetal distress, prolonged labor and Neonate Intensive Care Unity (NICU) admission were also significantly higher in group 1.

CONCLUSION:

Adverse pregnancy outcomes were increased in primigravidas of 35 years and older compared to multigravidas of the same age.

PMID:
21793276
[PubMed - indexed for MEDLINE]
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