Kalaiselvi, P (2021) A Comparative study on Fetomaternal outcome in Extremes of Reproductive Age. Masters thesis, Thanjavur Medical College, Thanjavur.
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Abstract
BACKGROUND: Pregnant women in extremes of reproductive age group at both ends (< 20 years and > 35 years age) comprise high risk groups. Pregnant women more than 35 years get many complications like diabetes, spontaneous abortion, hypertensive disorders, autosomal trisomies, increased newborn and maternal morbidity and mortality and cesarean sections. Pregnancies of < 18 years age group is complicated by anemia, preterm labor, urinary tract infections, pre-eclampsia, and a high rate of cesarean sections, preterm birth, low birth weight and growth retardation of the newborns. OBJECTIVES: Incidence of various antenatal complications, pregnancy outcome and mode of delivery in < 20 years age group and > 35 year age group and to compare each group with pregnant women in the age group of 20 to 34 years. METHODS: This comparative prospective study was done at Department of Obstetrics and Gynaecology, Government Raja Mirasudhar Hospital, Thanjavur Medical College, Thanjavur, from January 2019 to December 2019. Data were collected from randomly selected primigravidas in each group, attending the outpatient and inpatient department and followed up. RESULTS: Present study showed that the definite increased risk of preeclampsia, eclampsia, anemia, hypothyroidism, gestational diabetes mellitus, chronic hypertension, overt diabetes, obesity, preterm labor, cesarean section rate, low birth weight babies in elderly primigravidas and anemia, hypothyroidism, preterm labour, low birth babies, NICU admission in teenage primigravidas compared with pregnancies in the young adult group. CONCLUSION: Both adolescent and advanced age groups are high risk pregnancy groups. So for best reproductive outcome, pregnancies at these ages should be very carefully supervised with both good maternal and fetal surveillance to achieve best maternal and fetal results.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221816204 |
| Uncontrolled Keywords: | Teenage primigravida, elderly primigravida, young adult primigravida. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 15 May 2021 12:59 |
| Last Modified: | 08 Jan 2022 14:22 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/16742 |
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