Abstract

OBREGON YANEZ, Luisa E. Primigesta de edad avanzada. Rev Obstet Ginecol Venez [online]. 2007, vol.67, n.3, pp.152-166. ISSN 0048-7732.

Objective: To compare primigravida's women aged 35 or over, attended in two different periods with ten years between them, regarding to prenatal control, labor and childbirth, interventions, abortions as well as mother and child complications. These periods will be compared between them and with the medical center data. Methods: Descriptive and retrospective analysis of medical records of 98 and 89 advanced maternal age women, which were found in the admission books from january 1st to december 31st of 1993 and 2003. Statistics were evaluated trough X² and Z for media and percentages comparison. Setting: Maternidad "Concepcion Palacios", Caracas Venezuela. Results: The incidence of delayed maternity in 1993 and 2003 was 0.38 % and 0.42 % respectively. The average age was 37.42 and 37.99 years old; 93.42 and 94.45 % of patients referred to have prenatal control, the most in private medical centers. The number of consults and complementary tests increased in second period. Pregnancy complications were numerous, being pregnancy-induced hypertension the most common. Cesarean was performed in 46 and 52 %, the most of them in emergency. Complications during and post labor as well as neonatal were numerous but none of them showed a significant difference. Neonatal mortality was four times higher than reported for Maternidad "Concepcion Palacios" and two mother deceased occurred during second period. Conclusions: We found an important increase of mother morbidity, with predominance of hypertension. It was also noticed a raise of entries of multi referred patients, cesarean incidence, perinatal morbimortality and mother mortality. Due to these facts is necessary to consider the primiparous women aged 35 or over as a high risk pregnancy in our institution

Keywords : Primigravidas older than 35years old; Advanced maternal age and pregnancy; Delayed maternity.