P. Kaščák, M. Gaman, R. Gajdošík, N. Matušková, A. Antalová
The aim of this study was to analyse the perinatal outcome in women aged 35 – 39, 40
and over and compared with perinatal outcome in women under 35 years of age and
comparing our findings with literary data. This was a retrospective analysis of all
deliveries in Ob/Gyn Department Trencin in the period of January 2012 – December
2015. Women were split into three groups. Group A included women under 35 years
of age. Group B included women aged 35 – 39 and Group C included women 40
years and older. The analysis was focused on the presence of pregnancy pathology,
complications, perinatal mortality and mode of delivery in individual groups. In the
period January 2012 – December 2015 there were 8307 deliveries in our department.
C- section rate was 14.5 %. Perinatal mortality was 4.8 ‰. In Group A was 6614
deliveries (79.6 %), in Group B 1420 deliveries (17.1 %) and in Group C 273 deliveries
(3.3 %). C- section rate in Group A was 13.2 %, in Group B 18.4 %, in Group C 27%.
Preeclampsia, HELLP syndrome, intrahepatic cholestasis of pregnancy, gestational
diabetes, intrauterine growth restriction, pregnancy after assisted reproduction
and breech presentation were more common among women in Group B and C. The
frequency of preterm birth, multiple pregnancies, foetal macrosomia and assisted
vaginal deliveries slightly decreased in Group B and C. In our study we confirmed
the effect of maternal age on pregnancy outcome and Caesarean delivery rate.
However, published data on this topic are completely controversial. Due to this fact
it is important to analyse institutional and national data. Individual consultation in
an every single case is fundamental. Maternal age is not the indication for Caesarean
section and invasive prenatal testing.