RESUMO
To assess the effect of maternal age on obstetric intervention and pregnancy outcome, a retrospective study compared obstetric intervention, pregnancy complications and outcome in 73 women of age > 35 years with 471 women of age 20-25 years attending Prince Ali Military Hospital, Jordan from June 1999 to May 2000. Older women were found to have significantly higher rates of medical complications such as hypertension and diabetes mellitus. Despite significantly increased frequency of large babies, trisomy 21, twin pregnancy and antepartum haemorrhage, overall outcome was satisfactory. We conclude that older women, managed by modern obstetric methods and delivered in a modern health-care centre, can expect good pregnancy outcomes.
Assuntos
Parto Obstétrico/métodos , Idade Materna , Complicações na Gravidez/epidemiologia , Resultado da Gravidez/epidemiologia , Gravidez de Alto Risco , Adulto , Distribuição por Idade , Índice de Apgar , Peso ao Nascer , Transtornos Cromossômicos/epidemiologia , Anormalidades Congênitas/epidemiologia , Parto Obstétrico/estatística & dados numéricos , Feminino , Idade Gestacional , Hospitais Militares , Humanos , Hipertensão/epidemiologia , Hipertensão/terapia , Recém-Nascido , Jordânia/epidemiologia , Pessoa de Meia-Idade , Placenta Prévia/epidemiologia , Gravidez , Complicações na Gravidez/terapia , Gravidez em Diabéticas/epidemiologia , Gravidez em Diabéticas/terapia , Estudos Retrospectivos , Gêmeos/estatística & dados numéricosRESUMO
To assess the effect of maternal age on obstetric intervention and pregnancy outcome, a retrospective study compared obstetric intervention, pregnancy complications and outcome in 73 women of age > 35 years with 471 women of age 20-25 years attending Prince Ali Military Hospital, Jordan from June 1999 to May 2000. Older women were found to have significantly higher rates of medical complications such as hypertension and diabetes mellitus. Despite significantly increased frequency of large babies, trisomy 21, twin pregnancy and antepartum haemorrhage, overall outcome was satisfactory. We conclude that older women, managed by modern obstetric methods and delivered in a modern health-care centre, can expect good pregnancy outcomes
Assuntos
Transtornos Cromossômicos , Anormalidades Congênitas , Parto Obstétrico , Idade Gestacional , Hipertensão , Recém-Nascido , Resultado da Gravidez , Idade MaternaRESUMO
In the 6-year period from 1 August 1991 to 31 July 1997, at Queen Alia Military Hospital, Amman, Jordan, 1339 caesarean sections were performed out of a total 17,392 deliveries, representing an overall incidence of 7.7%. Indications for the caesarean sections were variable. Whether the operation was a primary or repeat procedure was often a major consideration. Efforts to prevent unnecessary caesarean sections should focus on reducing the frequency of first-time procedures.
Assuntos
Cesárea/estatística & dados numéricos , Hospitais Militares/estatística & dados numéricos , Procedimentos Desnecessários/estatística & dados numéricos , Adulto , Cesárea/efeitos adversos , Feminino , Pesquisa sobre Serviços de Saúde , Humanos , Incidência , Jordânia/epidemiologia , Idade Materna , Auditoria Médica , Avaliação das Necessidades , Paridade , Seleção de Pacientes , Gravidez , Reoperação , Procedimentos Desnecessários/efeitos adversos , Procedimentos Desnecessários/tendênciasRESUMO
In the 6-year period from 1 August 1991 to 31 July 1997, at Queen Alia Military Hospital, Amman, Jordan, 1339 caesarean sections were performed out of a total 17 392 deliveries, representing an overall incidence of 7.7%. Indications for the caesarean sections were variable. Whether the operation was a primary or repeat procedure was often a major consideration. Efforts to prevent unnecessary caesarean sections should focus on reducing the frequency of first-time procedures
