Analysis on the safety of different aged pregnant women under the new birth policy

ZHANG Yue; CHEN Hongbo; LIU Yu

doi:10.16766/j.cnki.issn.1674-4152.002947

Volume 21 Issue 4

Apr. 2023

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ZHANG Yue, CHEN Hongbo, LIU Yu. Analysis on the safety of different aged pregnant women under the new birth policy[J]. Chinese Journal of General Practice, 2023, 21(4): 629-631. doi: 10.16766/j.cnki.issn.1674-4152.002947

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ZHANG Yue, CHEN Hongbo, LIU Yu. Analysis on the safety of different aged pregnant women under the new birth policy[J]. Chinese Journal of General Practice, 2023, 21(4): 629-631. doi: 10.16766/j.cnki.issn.1674-4152.002947

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Analysis on the safety of different aged pregnant women under the new birth policy

doi: 10.16766/j.cnki.issn.1674-4152.002947

ZHANG Yue¹
, CHEN Hongbo²
, LIU Yu^{1
,
,}

1.
Gynecology Department, Maternal and Child Health Hospital of Anhui Medical University, Hefei, Anhui 230031, China

Funds:

2108085MH260

Received Date: 2022-03-07
Available Online: 2023-05-31

Abstract

Abstract

Objective To discusses the pregnancy safety of different elderly pregnant women under the background of the change in birth policy and the standardized management of elderly pregnant women. Methods The clinical data of 461 singleton pregnant women in the Anhui Provincial Maternal and Child Health Hospital from January 2020 to December 2020 were collected. According to the maternal age, they were divided into age-appropriate maternity group (20-34 years old, 184 cases), the advanced maternal age group (35-39 years old, 147 cases) and very advanced maternal age group (more than 40 years, 130 cases). Pregnancy complications and outcomes were analyzed. Results The gestational diabetes mellitus, premature rupture of membranes, placenta praevia, caesarean section, miscarry, fetal distress were 38, 76, 3, 53, 13, 26 cases respectively in the age-appropriate maternity group, above those in the advanced maternal age group were 54, 44, 10, 84, 9, 9 cases respectively, and those in the very advanced maternal age group were 51, 4, 3, 46, 27, 11 cases respectively. Univariate analysis showed that gestational diabetes mellitus, premature rupture of membranes, placenta previa, cesarean section, abortion and fetal distress were statistically significant. After adjusting the general situation, the risk of cesarean section in the advanced maternal age group is higher than that in the age-appropriate maternity group, and the risk of abortion in the very advanced maternal age group is higher than that in the age-appropriate maternity group. Conclusion The risk of caesarean section in the advanced maternal age women was higher than that in pregnant women of appropriate age. The risk of abortion in the advanced maternal age women was higher than that in pregnant women of appropriate age. There is no age-related correlation between other complications and pregnancy outcomes. Standardized management effectively protects the safety of elderly pregnant women.
- Very advanced maternal age women,
- Miscarry,
- Cesarean

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References

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