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Obstetrical and neonatal outcomes of singleton gestations among elderly Filipino primagravids in a tertiary government hospital – a five-year review

Mary Menuro F. Acda, MD and Leovigildo L. Comia, Jr., MD, FPOGS, FPSUOG
Department of Obstetrics and Gynecology, Philippine General Hospital, University of the Philippines-Manila

Objective: The elderly primigravid has inherent pregnancy risks which may have deleterious effects on both maternal and fetal outcomes. The purpose of this study is to review the obstetric and neonatal outcomes of singleton gestations among Filipino elderly primigravids who delivered in a tertiary government hospital from January 1, 2012 to December 31, 2016.

Methods: This is a retrospective cohort study of including 80 primigravid women aged 35 years and older (study group) and 160 primigravid women aged 20 to 34 years old (control group). Data was collected through review of hospital records, and data processing and analysis were carried out using the software, Stata 13.

Results: A total of 24,751 deliveries were attended to for the five-year period covered, giving the elderly primigravids a prevalence of 6.91%, with a mean age of 38 ± 2.63 years (range 35-43). Significantly, more women in the elderly group delivered at less than 36 weeks age of gestation, delivered abdominally, and had a history of infertility and important co-morbid conditions. No significant difference in the neonatal outcomes were noted between the two groups.

Conclusion: It can be suggested that there was no noted difference in terms of the maternal and neonatal outcomes between elderly primigravids than otherwise. Nevertheless, inherent differences between the study groups may be clinically important in customizing the management of these women.