A Clinical Study of Pregnancy and Delivery in Women Aged 40 Years and Older.

Choi, Su Ran; Kim, Gwang Jun; Lee, Soon Pyo; Kim, Suk Young; Yoon, Seung Jun; Lee, Eui Don

Original Article

Korean Journal of Obstetrics & Gynecology 2003;46(3):612-616.
Published online March 1, 2003.

A Clinical Study of Pregnancy and Delivery in Women Aged 40 Years and Older.

Su Ran Choi, Gwang Jun Kim, Soon Pyo Lee, Suk Young Kim, Seung Jun Yoon, Eui Don Lee

Department of Obstetric and Gynecology Gachon Medical School, Incheon, Korea.

Abstract

OBJECTIVE
To access the pregnancy tendency and delivery in women aged 40 years and older. METHODS: From January 1999 to June 2001, 7882 deliveries were in Gacheon Medical School. Among them we compared 95 cases of pregnant women aged 40 years and older with 94 cases of those aged under 40 years as a control group. RESULTS: The parity was higher in women aged older than 40 years compared to control group. Number of prenatal special studies was higher in women aged older than 40 years (n=82) compared to control group (n=14). In modes of delivery and indications for c/sec, there were no difference in two groups. There were no difference in prenatal complications between two groups. But, number of cases related to placenta previa, myoma and anemia were increased in women aged older than 40 years. In postpartum complications, uterine atony and hysterectomy, postpartum bleeding and placenta accreta were higher in women aged older than 40 years compared to control group. CONCLUSION: For pregnant women aged 40 years and older, a careful approach and appropriate management will be necessary for good pregnant outcome.

Key Words: Women aged 40 years and older