An Assessment of Fetomaternal Outcomes and Comparison Between Elderly and Younger Primigravida Conditions Among Pregnant Women

Abstract

Objectives: The study aims to assess the fetomaternal outcomes in primigravida pregnant women and to compare the frequency of fetomaternal outcomes in elderly primigravida and younger primigravida pregnant women

Methodology: A cross-sectional study was conducted from January 2021- July 2021 at the Department of Obstetrics and Gynecology Gomal Medical College Dera Ismail Khan. A total of 125 female patients with Primigravida condition were included in the study, and followed till delivery.  The data was noted in MS Excel and later on, analyzed using SPSS. The demographic details, complications, and fetomaternal outcomes (pregnancy-induced hypertension, pre-eclampsia, intrauterine growth restriction, fetal distress, cesarean section, low birth weight, and low Apgar score) were noted.

Results: Pregnancy induced Hypertension was observed among 8.8% of Primigravida patients, Preeclampsia in 5.6%, intrauterine growth restriction 7.2%, Fetal Distress 10.4%, C-Section 20%, Low Birth Weight 8%, and Low Apgar Score was 7.2%. Elderly primigravida was 20% and younger primigravida was 80%. Pregnancy Hypertension was observed in 8.8% (of patients, Preeclampsia 5.6%, intrauterine growth restriction at 7.2%, Fetal Distress 10.4%, C-Section was 20%, Low Birth Weight at 8%, and Low Apgar Score was 7.2%. Pregnancy Hypertension was seen in 20% of elderly primigravida as compared to 6% in young primigravida (p 0.027) as shown Preeclampsia was seen in 16% of elderly primigravida as compared to 3% in young primigravida

Conclusion: The study showed that elder women with primigravida have higher rates of Pregnancy induced Hypertension, intrauterine growth restriction, Fetal Distress and Preeclampsia as compared to younger women.