Abstract

VILLASMIL, Eduardo Reyna et al. Resultante materno-perinatal en primigestas de 40 años o más. Gac Méd Caracas [online]. 2006, vol.114, n.1, pp.22-26. ISSN 0367-4762.

Summary The objective of the investigation was to determine obstetrical and perinatal complications of primigravid aged 40 and older. A prospective study comparing 98 primigravid aged 40 and older with a control group of 98 primigravid pregnant women aged between 20 and 29 years old assisted between January 2001 and March 2004 was performed. Prenatal data, gestational age, delivery, type of delivery, birth weight, preterm labor, perinatal deaths, congenital malformations and small or large for gestational age, Apgar scores at 1 and 5 minutes and presence of meconium in any moment during labor. History of infertility and obesity was significantly more common in the study group. Complications like pregnancy-induced hypertension, malpresentation, second half of pregnancy hemorrhage and labor alterations occurred more frequently in primigravid aged 40 and older. The study group presented a higher significant rate of induced labor, use of oxytocin, malpresentation and cesarean section, preterm labor, low birth weight and small for gestational age newborns. It is concluded that although there was an increased in ante and during labor complications, perinatal evolution was affected by maternal age. Their newborns presented a significant increase in the frecuency of complications

Keywords : Maternal Age; Primigravid; Obstetrical complications; Perinatal complications.