Publication:
Effect of Advanced Maternal Age on Pregnancy Outcomes

creativeworkseries.issn3059-9547
dc.contributor.authorSah, Ranjana
dc.contributor.authorPradhan, Peru
dc.contributor.authorDangal, Ganesh
dc.contributor.authorShrestha, Sona
dc.contributor.authorRajbhandari, Subrina
dc.date.accessioned2026-07-21T08:12:12Z
dc.date.available2026-07-21T08:12:12Z
dc.date.issued2024
dc.descriptionRanjana Sah Department of Obstetrics and Gynecology, phect-NEPAL, KMH-IHS, Kathmandu, Nepal Peru Pradhan Department of Obstetrics and Gynecology, phect-NEPAL, KMH-IHS, Kathmandu, Nepal Ganesh Dangal Department of Obstetrics and Gynecology, phect-NEPAL, KMH-IHS, Kathmandu, Nepal Sona Shrestha Department of Obstetrics and Gynecology, phect-NEPAL, KMH-IHS, Kathmandu, Nepal Subrina Rajbhandari Department of Obstetrics and Gynecology, phect-NEPAL, KMH-IHS, Kathmandu, Nepal
dc.description.abstractAbstract: Introduction: Advanced maternal age generally denotes age after 35years during the time of delivery. Despite the fact that being pregnant at any reproductive age is not risk free, older gravidity usually culminates with adverse outcomes both to mother and fetus or neonates. The objectives of this study is to investigate the impact of advanced maternal age on perinatal and neonatal outcomes of primiparous singleton pregnancies. Methods: This was a prospective cohort study conducted in Kathmandu Model Hospital/Kirtipur Hospital including 60 elderly pregnant Women from exposed groups (35-40 years) and 60 pregnant women from unexposed groups (30-34 years) and analyzed for maternal and fetal outcomes. Data was collected in the proforma and statistical analysis was done using IBM SPSS v 26. Results: A total no. of 120 pregnant patients were selected for the study. The average age of the patients was 36.561.61years and 31.53±1.27years in exposed and unexposed groups. The risk of pregnancy induced Hypertension (55%), preterm labour (30%) and low birth weight (28.3%) were significantly higher in exposed group as compared to non-exposed group. There was little evidence of increased risk of oligohydramnios (13.3%) and cesarean delivery rates (63.4%) in exposed group. Rate of neonatal intensive care unit admission was high in exposed group (46.7%) than unexposed group (30%). Conclusions: This present study showed that pregnancy at advanced maternal age associated with increased risk of certain maternal and fetal complication and these finding emphasize the importance of age-appropriate prenatal care and early intervention to improve outcomes of elderly pregnant women.
dc.identifierhttps://doi.org/10.63455/nbyfe782
dc.identifier.urihttps://hdl.handle.net/20.500.14572/6997
dc.language.isoen_US
dc.publisherPublic Health Concern Trust-Nepal (phect-NEPAL)
dc.subjectAdvanced maternal age
dc.subjectMaternal and Perinatal outcomes
dc.subjectPreterm labour
dc.titleEffect of Advanced Maternal Age on Pregnancy Outcomes
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage33
oaire.citation.startPage27
relation.isJournalIssueOfPublicationf6843a08-3b4f-4b4f-8744-e10fc67795e8
relation.isJournalIssueOfPublication.latestForDiscoveryf6843a08-3b4f-4b4f-8744-e10fc67795e8
relation.isJournalOfPublication56ecabdf-56c9-4caa-af6a-1fce9c15c360

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