Risk Assessment in Pregnancy among Women Aged Over Forty
| Autor: | Potkonjak, Ana-Meyra, Djaković, Ivka, Sabolović Rudman, Senka, Poljak, Lara, Košec, Vesna |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Acta clinica Croatica Volume 60. Issue 2. |
| ISSN: | 1333-9451 0353-9466 |
| Popis: | The objective of this study was to assess the relationship between women’s age and risk of pregnancy-related complications. The study was a retrospective cohort analysis of the pregnancy-related complications and outcomes between two age groups of parturient women. Categorical data were expressed as absolute and relative frequencies. Statistical analysis was performed using χ2-test. The incidence of gestational diabetes was higher in the 40-47 age group as compared with the 20-24 age group. The rates of hypertension, preeclampsia, intrahepatic cholestasis of pregnancy and hypothyroidism did not differ between the two groups. The rates of labor induction, oxytocin use, vaginal delivery, and need for episiotomy were higher in younger age group. Dystocia and breech presentation as indications for cesarean section were more common among younger women. According to study results, the risk of gestational diabetes and rates of cesarean delivery increased with advanced maternal age. Cilj istraživanja bio je ispitati povezanost dobi majke i rizika povezanih s njihovim trudnoćama. Retrospektivno kohortno istraživanje provedeno je usporedbom pojavnosti rizika i ishoda trudnoća dviju skupina trudnica. Kategorijski podatci prikazani su apsolutnim i relativnim frekvencijama. Statistička analiza provedena je primjenom χ2-testa. Incidencija gestacijskog dijabetesa bila je veća u skupini trudnica u dobi od 40-47 godina u usporedbi sa skupinom u dobi od 20-24 godine. Stopa hipertenzije, preeklampsije, intrahepatične kolestaze u trudnoći i hipotireoidizma nije se razlikovala između dviju dobnih skupina trudnica. Stope indukcije porođaja, upotrebe oksitocina, vaginalnog porođaja i potreba za epiziotomijom bile su veće u trudnica mlađe dobi. Nenapredovanje porođaja i stav ploda zatkom kao indikacije za carski rez bile su češće u žena mlađe dobi. Rezultati istraživanja upućuju na veći rizik gestacijskog dijabetesa i dovršenja trudnoće carskim rezom u trudnica uznapredovale životne dobi. |
| Databáze: | OpenAIRE |
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