Медицинская библиотека · International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 1998

Obstetric outcome of elderly low-risk nulliparae.

Smit Y, Scherjon S A, Knuist M, Treffers P E

Сравнительное исследованиеСтатьяПеревод в очереди

Аннотация

OBJECTIVE

To compare referrals and reasons for referral during pregnancy and labor, mode of delivery and obstetric outcome of first births in women 35 years and older with women 20-30 years old.

METHODS

A prospective cohort study was performed of 146 elderly and 306 younger nulliparae in seven independent midwives' practices in and around Amsterdam.

RESULTS

No significant differences in referrals were found between the two compared groups. After selection during pregnancy, obstetric outcome was not different between the groups. A higher percentage of episiotomies was found in the elderly group, compared to the younger group.

CONCLUSIONS

After proper selection during pregnancy, the elderly nullipara under the care of a midwife does not have an increased risk of fetal distress or other emergency factors, compared to the younger nullipara. However, high referral rates during labor - both of younger and older women - were observed in this study.

Для цитирования: Smit Y, Scherjon S A, Knuist M, Treffers P E. Obstetric outcome of elderly low-risk nulliparae.. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 1998. DOI: 10.1016/s0020-7292(98)00121-0.

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