Objective:
The purpose of this study is to analyze perinatal and neonatal outcomes of pregnant women at the age 40 and over.
Material and Methods:
The study group consisted of pregnant women who were 40 and over and delivered at Okmeydanı Training And Research Hospital between January 2011-December 2014. The data of the patients were compared with those of a control group which exclusively included pregnant women between ages 20 and 35.
Results:
Chronic hypertension, gestational diabetes mellitus, intauterin growth restriction and caesarian section rates were found statistically high for advanced age pregnancy (p=0.005; p=0.027; p=0.031; p=0.001). Preeclampsia, ablatio placenta, placenta previa, intrauterine fetal death rates were not statistically significantly different. At age 40 and over, chronic deseases were found significantly higher (p=0.023). Week at birth and birthweight, neonatal intensive care unit requirements, 5th minute Apgar scores, preterm labor ratios were not statistically significantly different.
Conclusion:
In this study; chronic hypertension, gestational diabetes mellitus, intauterine growth restriction and caesarian section rates were found high at age 40 and over.
Keywords: maternal age, maternal complication, neonatal morbidity