American Journal of Clinical Medicine Research
ISSN (Print): 2328-4005 ISSN (Online): 2328-403X Website: Editor-in-chief: Dario Galante
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American Journal of Clinical Medicine Research. 2019, 7(2), 44-47
DOI: 10.12691/ajcmr-7-2-2
Open AccessArticle

Pregnancy Outcome in Elderly Primigravidae: A 5-year Review in a Tertiary Health Care Institution in Abakaliki, Southeast, Nigeria

Onuchukwu Victor Jude Uchenna1, Obi Vitus Okwuchukwu1, Nwafor Johnbosco Ifunanya1, , Onwe Blessing Idzuinya1, Ugoji Darlington-Peter Chibuzor1, Obi Chuka Nobert1, Ibo Chukwunenye Chukwu1 and Agu Chidinma Joy2

1Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria

2Department of Public Health, University of Calabar, Calabar, Nigeria

Pub. Date: August 12, 2019

Cite this paper:
Onuchukwu Victor Jude Uchenna, Obi Vitus Okwuchukwu, Nwafor Johnbosco Ifunanya, Onwe Blessing Idzuinya, Ugoji Darlington-Peter Chibuzor, Obi Chuka Nobert, Ibo Chukwunenye Chukwu and Agu Chidinma Joy. Pregnancy Outcome in Elderly Primigravidae: A 5-year Review in a Tertiary Health Care Institution in Abakaliki, Southeast, Nigeria. American Journal of Clinical Medicine Research. 2019; 7(2):44-47. doi: 10.12691/ajcmr-7-2-2


Background: Pregnancies in women of advanced maternal age have been historically regarded as high risk pregnancies because of the associated increase in risk of maternal and perinatal morbidity and/or mortality. Hence, there is a need to evaluate the pregnancy outcome of elderly primigravidae in our setting. Aim: To determine the pregnancy outcomes in elderly primigravidae compared to the younger primigravidae at Alex Ekwueme Federal University Teaching Hospital, Abakaliki. Materials and Method: This was a retrospective case-control study of pregnancy outcomes of 49 elderly primigravidae (case group), who delivered at the hospital over a 5-year period, were compared with those of 98 younger primigravidae (control group) (≤ 34 years old) that delivered during the same period. Data collection was done using a pre-designed proforma; analysis was done using Epi Info 7.2.1 CDC. Result: During the study period, there were 11703 deliveries. The incidence of elderly primigravidity was 0.42%. The mean age of the study group was 36.5 ± 1.7 years and that of the control group was 24.3 ± 4.2 years. Forty-four (89.8%) patients were booked in the study group, while 71 (72.8%) patients were booked in the control group. Elderly primigravidae were more likely to book before 14 weeks’ gestational age compared with younger primigravidae (χ2=33.29, P<0.0001). The average gestational age at delivery for the study group and control group were 39.0 ± 3.7 weeks and 37.0 ± 4.1 weeks respectively. The incidence of malaria infection was higher in the younger control group while in the elderly primigravidae the rate of diabetes mellitus, hypertensive disorders, multiple gestation and anaemia were higher ; but not statistically significant ((p>0.05)). The caesarean section rate in the case group was higher but of no statistical significance (p=0.51). There was no recorded maternal death in both groups. Conclusion: Elderly primigravidity is not uncommon in our environment. Due to the anxiety associated with such pregnancies they were more likely to book earlier than the younger primigravidae. Although they were more likely to have medical complications, the maternal and perinatal outcomes were not statistically different from younger primigravidae.

elderly primigravidae pregnancy outcomes Abakaliki

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