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  • ISSN[Online] : 2643-9875  ||  ISSN[Print] : 2643-9840

VOLUME 03 ISSUE 01 JANUARY 2020

Maternal and Perinatal Outcomes in Advanced Maternal Age
1Eddy Hartono, 2Stefannus Wibisono, 3Suzanna S Pakasi
1,2,3Social Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Hasanuddin University, Makassar
Corresponding Author : Eddy Hartono
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ABSTRACT

Backgrounds:
Advanced maternal age is defined as pregnancy that occurs at more 35 years old. This condition is considered as high risk pregnancy due to its close association with maternal and perinatal complications. This study was performed to reveal the data of advanced maternal age and its complications.
Methods:
This study was a descriptive retrospective study performed by taking data of advanced maternal age in Sitti Fatimah and Pertiwi Mother and Child Hospital in Makassar in 2015 – 2016.
Results:
There were 2,342 (15.7%) with advanced maternal age which most frequently occur at 35 - 39 years old group (74.6%) and mostly were multiparous. Hypertensive disorders were the most frequent pregnancy complications at older age comprising of 33.1% cases. Premature delivery, low birth weight, and fetal growth disorders were the most frequent fetal complications comprising of 17.7%14.1% and 10.2% of cases respectively. 88.9% newborn had a 5 minutes APGAR score > 8.
Conclusions:
Advanced maternal age was closely related to pregnancy and neonatal complications, such as hypertensive disorders, preterm delivery and low birth weight.

KEY-WORDS

Advanced maternal age, Pregnancy complications

REFERENCES

1) WHO. Maternal mortality rate estimation list per country 1990-2015. Available at http://www.who.int/gho/maternal_health/countries/en/#I Accesed 20 January 2017

2) DEPKES. Profil Kesehatan Indonesia. http://depkes.go.id/resources/download/pusdatin/profil-kesehatan-Indonesia- 2015.

3) Bayrampour H, Heaman M, Duncan KA, Tough S. Advanced maternal age and risk perception: A Qualitative Study. BMC Pregnancy and Childbirth 2012, 12:100

4) Benzies KM. Advanced maternal age: are decisions about the timing of child- bearing a failure to understand the risks. CMAJ, 2008; 178 (2).

5) Chibber R. Problems of older maternal age and pregnancy outcome. In Bahrain Medical Bulletin, Vol. 26, No. 3, September 2004

6) Kenny et al. Advanced maternal age and adverse pregnancy outcome: Evidence from a Large Contemporary Cohort. PLos One; February 2013; Volume 8; Issue 2; e56583.

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8) Sibuea MD, Tendean HMM, Wagey FW. Persalinan pada usia ≥ 35 tahun di RSU Prof. Dr. R. D. Kandou Manado. Jurnal e- Biomedik (eBM), Volume 1, Nomor 1, Maret 2013, P. 484-489

9) Prianita AW. Pengaruh faktor usia ibu terhadap keluaran maternal dan perinatal pada persalinan primigravida di RS dr. Kariadi Semarang Periode Tahun 2010. Artikel Penelitian: Karya Tulis Ilmiah. 2011.

10) Damayanti AR, Pramono BA. Luaran maternal dan perinatal pada wanita usia lebih dari 35 tahun di RSUP dr. Kariadi Semarang, Tahun 2008.

11) Jacobson B, Ladfors L, Milson I. Advanced maternal age and adverse perinatal outcome. The American College of Obstetrician and Gynecologists. Vol 10, No 4, October 2004.

VOLUME 03 ISSUE 01 JANUARY 2020

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