The course of pregnancy, childbirth and the postpartum period in women of different ages giving birth for the first time
DOI:
https://doi.org/10.15574/HW.2025.3(178).4652Keywords:
pregnancy, women giving birth for the first time, age of the pregnant woman, course of pregnancy, course of childbirth, postpartum period, complications of pregnancy and childbirth, cesarean section, postoperative periodAbstract
Aim - to conduct a retrospective analysis of the course of pregnancy, childbirth and the postpartum period in women of different age groups who are giving birth for the first time, to determine the impact of reproductive age on the incidence of obstetric complications.Materials and methods. The course of pregnancy, childbirth and the postpartum period was analyzed according to 154 birth histories of women giving birth for the first time, who were divided into groups according to age: I group of the study - 78 pregnant women aged 20-29 years, II group - 76 pregnant women aged 30-40 years. Obstetric complications during pregnancy, childbirth, and the postpartum period were studied.Results. A significant complication during pregnancy in the II group of women was the threat of abortion (23.7%); gestational anemia (27.6%); the threat of premature birth (15.7%). Preeclampsia was diagnosed 1.9 times more often in the II group, the frequency of severe preeclampsia in this group - 3.9%. The course of pregnancy was complicated by placental insufficiency in 15.7% in the II group, premature rupture of the membranes occurred significantly more often (22.4%). In childbirth and the early postpartum period, women in the II group had to use the following operations significantly more often: the frequency of cesarean section in 27.6%; episiotomy and perineotomy - in 19.7%, amniotomy - in 11.8% of cases and manual separation of the placenta and afterbirth - in 9.2%.Conclusions. Women giving birth for the first time after the age of 30 should be included in the high-risk group for the occurrence of preeclampsia, especially early forms and placental insufficiency; they require an individual approach to choosing a method of delivery, taking into account all risk factors.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the institution mentioned in the paper. The informed consent of the patient was obtained for conducting the studies.
No conflict of interests was declared by the authors.
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