Meta Analysis of Elderly Gravida according to Postpartum Maternal, and Fetal and Neonatal Outcomes.
- Author:
Song LIM
1
;
Seh Yong LEE
Author Information
1. Department of Obstetrics and Gynecology, Dong-Eui Hospital, Pusan, Korea.
- Publication Type:Original Article ; Meta-Analysis
- Keywords:
Meta analysis;
Elderly gravida;
Postpartum maternal outcomes;
Fetal-neonatal outcomes
- MeSH:
Aged*;
Anemia;
Cardiomyopathies;
Case-Control Studies;
Cervix Uteri;
Confounding Factors (Epidemiology);
Dacarbazine;
Female;
Fetal Death;
Fetal Growth Retardation;
Hepatitis;
Humans;
Infant, Low Birth Weight;
Infant, Newborn;
Intensive Care Units;
Lacerations;
Male;
Perinatal Mortality;
Postpartum Hemorrhage;
Postpartum Period*;
Pulmonary Edema;
Sepsis;
Urinary Bladder;
Urinary Tract Infections;
Wound Infection
- From:Korean Journal of Obstetrics and Gynecology
1997;40(9):1923-1935
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Based on the 10 domestic theses which conducted a case-control study of elderly gra-vida over 35, meta analysis was made of the postpartum maternal outcome and fetal-neon-atal outcome with elderly gravida over 35 as cases and with gravida under 35 as controls. The findings are as follows: As for fetal-neonatal outcomes, the frequency of low birth weight was twice as high for cases , compared with controls, intrauterine growth retardation 2.4 times as high, macrosomia about 30% higher , congenital anomaly 16% higher , intrauterine fetal death 2.6 times as high, admission to newborn intensive care unit twice as high , and perinatal mortality twice as high. In case of neonatal sex , cases produced 28% more male babies than controls. As for postpartum maternal outcomes , the frequency of cesarean delivery was 2.9 times as high, compared with controls and postpartum hemorrhage 62% higher. Vaginal wall laceration, 3rd degree laceration, 4th degree laceration and cervix laceration all didn`t happen to cases as frequently as controls, while postpartum anemia was observed in cases 2.3 times as often as controls, wound infection 57% more often , bladder dysfunction 32% more , urinary tract infection 72% more and DIC about twice as often. In case of postpartum cardiomyopathy, pulmonary edema, respiratory infection, hepatitis and sepsis respectively, cases showed 7.4 times higher rate of an attack. Finally , it should be admitted that there are some problems in this study such as controversial hospital data used in analysis, the lack of clear operational definition , the lack of precise P-value, omitted standard deviation and uncontrolled confounding variables.
