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Year : 2021  |  Volume : 18  |  Issue : 1  |  Page : 31-34

Obstetric performance of women with advanced maternal age in Ahmadu Bello University Teaching Hospital, Zaria

Department of Obstetrics and Gynaecology, ABUTH, Zaria, Nigeria

Correspondence Address:
Dr. Umma Suleiman Bawa
Department of Obstetrics and Gynaecology, ABUTH, Zaria
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njbcs.njbcs_7_17

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Context: Consequent upon changes in social norms over the years, there has been an increase in the age of marriage and childbirth in women. The older parturient poses a great challenge to the managing obstetrician and a greater challenge to attaining safe motherhood. Aim: To determine the obstetric performance and complications developed during pregnancy and delivery of women with advanced maternal age. Settings and Design: This was a retrospective (case–control) study. Setting: This study was conducted in an ANC and labour ward of ABUTH, Zaria, Nigeria. Materials and Methods: The antenatal and delivery records of women with advanced maternal age (≥35 years) and those within 20–25 years of age from 2002 to 2006 were reviewed. Records of 294 women with advanced maternal age, and 322 of those aged 20–25 years were used. Results: A total of 57% of women with advanced maternal age developed complications compared with 24% in those aged 20–25 years. A total of 13% had chronic hypertension, while 26.2% had pregnancy-induced hypertension. Labour was augmented in 12.2% of those who had spontaneous vertex delivery and 6.2% had EMLSC/S. Low birth weight babies occurred in 11.6% necessitating admission into the SCBU and 5.4% had stillborn. Conclusion: This shows the considerable risk in pregnancies of women with advanced maternal age. It is recommended that to minimise complications; preconception care, antenatal care and skilled attendant at delivery are paramount.

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