COLLISIONAGE AND THEIR OBSTETRIC EFFECT IN PATIENTS WITH SINGLETONPREGNANCY - A CASE STUDY
U. YASHILA PRITHIKA
Department of OBG, Sri Lakshmi Narayana Institute of Medical Sciences, Affiliated to Bharath Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
. ANITHA *
Department of OBG, Sri Lakshmi Narayana Institute of Medical Sciences, Affiliated to Bharath Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
*Author to whom correspondence should be addressed.
Abstract
The methods for Obstetrics had been changed with the time and the more complicated cases are now being handled very practically. To assess various Antenatal complications in pregnancy among women aged 35years and above with younger women of age group 20-34years. The various Antenatal complications in women >35years and in women between 20 -35years of age attending our antenatal clinic was assessed using percentage of occurrence. At each antenatal visit, Patient’s General examination including vital parameters, Obstetrical examination for fetal growth and wellbeing were noted down. It is appropriate to conclude that elderly mothers with meticulous evaluation of pre-pregnancy health status, prenatal care, antenatal surveillance and delivery in a tertiary institution with proper NICU facilities can expect good perinatal outcome. The present study showed that there were higher caesarean rates. There were no birth injuries, but there was one neonatal death in women more than 35years. It is appropriate to conclude that elderly mothers with meticulous evaluation of pre-pregnancy health status, prenatal care, antenatal surveillance and delivery in a tertiary institution with proper NICU facilities can expect a good perinatal outcome.
Keywords: Diabetes mellitus, intrauterine growth restriction, antepartum hemorrhage
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Abenhaim HA, Benjamin A, Koby RD, Kinch RA, Kramer MS. Comparison of obstetric outcomes between on-call and patients’ ownobstetricians. CMAJ. 2007;177:352–356.
High Risk Pregnancy – Management Options James DK, Steer PJ, Weiner CP, Gonik B.
Chloe Zera, Ruth C. Fretts. Pregnancy and advanced maternalage. Progr Obstet Gynecol. 2007;17:11324.
Huang L, Sauve R, Birkett N, Fergusson D, van Walraven C. Maternal age and risk of stillbirth: a systematic review. CMAJ. 2008;178:165–172.
John Studd, Seang Lin Tan, Frank A Chervenak. Progress in Obstetrics and Gynecology. vol 17. Obstet Gynecol. 2003 Nov;102(5 Pt 1):1006 -14
SalihuHM, Shumpert MN, Slay M, Kirby RS, Alexander GRChildbearing beyond maternal age 50 and fetal outcomes in the UnitedStates.
Human Fertilisation and Embryology Authority, Facts and Figures 2006: Fertility Problems and Treatment, October2008
KE Fitzpatrick, D Tuffnell, JJ Kurinczuk and M Knight. Pregnancy at very advanced maternal age: a UK population-based cohort study. BJOG2016: DOI:10.1111/1471-0528.14269
Neerja Bhatla, Reetamahey. Special cases. In: RenuMisra (Eds). Ian Donald’s Practical Obstetric Problems. 7thed. New Delhi: Wolters Kluwer India Pvt Ltd; 2014. P80-83.
Health Canada. Canadian Perinatal Health Report; 2003. Ottawa: Minister of Public Works and Government Services Canada, 2003. Retrieved December 19, 2006, from Available:www.hc-sc.gc.ca/pphb- dgspsp/rhs- ssg/index.html
Cleary-Goldman J, Malone FD, Vidaver J, Ball RH, Nyberg DA, Comstock CH. et al. Impact of maternal age on obstetricoutcome. Obstetrics and Gynecology. 2005;105(5):983- 990.
De la Rochebrochard E, Thonneau P. Paternal age and maternal age are risk factors for miscarriage ; Results of a multicenter European study Hum. Reprod. 2002;17; 1649–1656.
Hassold T, Warburton D, Kline J, Stein Z. The relationship of maternal age and trisomyamong trisomic spontaneous abortions. Am J Hum Genet. 1984;36: 149.
Johns K, Olynik C, Mase R, Kreisman S, Tildesley H. Gestational diabetes mellitus outcome in 394 patients. Journal of Obstetrics and Gynaecology of Canada. 2006;28(2):122- 127.
Ahmed F, Mahmuda I, Sattar A, Akhtaruzzaman M. Asia Pac J Chin Nutr. 2003;12(4):460 -6
Sebirea NJ, Jollya M, Harrisb J, Regana L, Robinsonc S. Is maternal underweight really a risk factor for adverse pregnancy outcome? A population- based study in London. British Journal of Obstetrics and Gynaecology. January 2001;108:61±66.
Giri A, Srivatsav VR, Suwal A, Tuladhar AS, et al. Advanced Maternal age and obstetric outcome. Nepal Med Coll J. 2012;15(2): 87-90.