Pregnancy and Risks in Patients 35+

Abstract

he article presents the results of a retrospective and prospective study: analysis of fertility, Caesarean section frequency, assessment of the course of pregnancy and childbirth, the state of the fetoplacental system in primi- and multiparous women of various age groups – 18-25, 26-28, 29-30, 31-35, 36-40 years, older than 40 years. It is shown that the increase in the number of births is due to the rise in fertility only among patients older than 30 years. At the same time, there is a significant decrease in fertility – by 1.3 (due to the age subgroup of 18-25) among younger women. At the same time, an increase in the number of births in older patients occurred in all three groups of observations (31-35, 36-40, over 40 y.o.) by 1.7-2.1. The increase in the CS frequency (from 1998 to 2008) in the age group under 30 years is due to the rise in this indicator only in women aged 26-28 and 29-30. In the group of patients over 30, the increase in the CS frequency concerned only the age groups of 31-35 and 36-40 years(by 1.6 and 1.3). With the age of the patients, the frequency of gestosis, the severity of fetal growth restriction and the frequency of pre-mature birth increased. The duration of labor in multiparous patients in all age groups identified by us did not depend on the interbirth interval and, therefore, the large time interval between labor itself should not serve as a basis for expanding the indications for planned Caesarean delivery.