Analysis of fertility status, complications and adverse pregnancy outcomes in 310 elderly parturient wome

Objective To analyze the fertility status of elderly parturients, and compare with the complications and adverse pregnancy outcomes of parturients in the same period. Methods From July 2018 to October 2019, 310 elderly parturients who delivered in the Department of Obstetrics and Gynecology of Putuo District People's Hospital of Zhoushan City were selected as the observation group, and 310 suitable age parturients who delivered in our hospital at the same period were selected as control group. The delivery mode, complications and adverse pregnancy outcomes of the two groups were compared. Results The cesarean section rate in the delivery mode of the observation group(20.00%) was significantly higher than that of the control group(6.45%), P<0.05. The adopted natural delivery was 54.19% and 65.16% in the observation group and the control group, the painless delivery was 25.81% and 28.39%. The incidence rate of complications of preeclampsia, postpartum hemorrhage, placenta previa and hypertensive disorder complicating pregnancy in the observation group was significantly higher than those in the control group(all P<0.05), and the most typical one was preeclampsia. The incidence rates of the observation group and the control group were 19.03% and 5.16%, respectively, with significant difference(χ²=9.047, P=0.003). The incidence of adverse pregnancy outcomes of macrosomia, low birth weight infants and neonatal asphyxia in the observation group was significantly higher than those in the control group(all P<0.05). Conclusion Elderly parturients are more prone to complications such as preeclampsia, postpartum hemorrhage, placenta previa and hypertensive disorder complicating pregnancy. Newborns often suffer from macrosomia and low body weight. Painless delivery or cesarean section is usually selected for delivery methods. Therefore, perinatal health care should be done for elderly parturients to reduce the incidence of complications and adverse pregnancy outcomes as much as possible to ensure the safety of mothers and infants.