Pregnancy Outcome in Women Aged 40 or Older

Objective To study the influence of pregnancy in women aged 40 or older on delivery. Methods A retrospective cohort study, including 93 cases of pregnant women aged 40 or older and 186 controls at age less than 30, was conducted. Results The rate of pregnancy with uterus myoma, pelvic endometriosis, heart diseases, pregnancy induced hypertension, placenta previa and postpartum hemorrhage in the study group were significantly higher than the control group(12 9%,12 9%,10 8%,31 2%,8 6% and 19 4%, respectively)( P0.005 ). The rate of cesarean delivery (93.6%) and selected cesarean section(92.0%) in pregnant women aged 40 or older was significantly higher than that of control group ( P0.05 ) No significant differnces was shown in the neonatal asphyxia rate and neonatal mortality between the two groups( P0.05 ) Conclusion The incidence of pregnant complications and cesarean section rate were higher in women aged 40 or older. More perinatal care should de done for these pregnant women.