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Perinatal outcome of induced and spontaneous pregnancies of primiparous women aged 35 or over
Author(s) -
Kozinszky Z,
Orvos H,
Katona M,
Zoboki T,
Pál A,
Kovács L
Publication year - 2002
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/s0020-7292(01)00555-0
Subject(s) - medicine , obstetrics , pregnancy , incidence (geometry) , exact test , univariate analysis , significant difference , advanced maternal age , gynecology , multivariate analysis , fetus , surgery , genetics , physics , optics , biology
Objectives: To compare the neonatal and maternal morbidity data associated with induced or naturally conceived pregnancies of primiparous women aged 35 years and older. Methods: We recruited primiparous women aged 35 years and older, who delivered between January 1995 and December 2000. The outcomes of the induced ( n =62) and naturally conceived ( n =132) pregnancies were compared. The Fisher exact test was used for univariate analysis in order to compare the delivery and pregnancy characteristics in the two groups. Results: Cesarean section featured with a 0.76 times lower prevalence among the induced pregnant women, than among the spontaneous ones, but the difference was not significant statistically. The induced pregnancies were not associated with a significantly higher rate of perinatal complications. Conclusions: Induced pregnancy does not involve a higher risk of maternal complications. The incidence of premature newborns and intrauterine growth retardation was high in both subgroups, but without a statistically significant difference.