Relevant bibliographies by topics / Elderly Primigravida

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  2. Dissertations / Theses
  3. Book chapters

Academic literature on the topic 'Elderly Primigravida'

Author: Grafiati
Published: 5 June 2025
Last updated: 25 June 2025

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Journal articles on the topic "Elderly Primigravida"

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Sabha, Madieha, and Khushbu Bashir. "Fertility, conception and complications in elderly primigravidas a comparative study: observational study." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 7 (2023): 2119–22. http://dx.doi.org/10.18203/2320-1770.ijrcog20231920.

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Background: Incidence of elderly primigravida has increased now days, due to rising education level, effective means of birth control and high carrier goals. The women who conceived at advanced age (>35 years) for first time is defined as elderly primigravida. Indian standard is fixed at more than 30 years by Dutta 2013. These women are high risk for maternal and foetal complication and outcome. The study was done to assess pregnancy outcome in elderly primigravida. Methods: This was a prospective comparative study done in 180 patients over a period of 18 months from September 2017 to March 2019. Among 180 patients 90 patients were elderly primigravidas more than 30 years of age and 90 patients were young primigravidas aged 20 to 29 years. Results: Majority of elderly women though married early, conceived late, many women required other ovulation induction to ART dueto many associated complication with elderly primigravida C-section rate is higher in elderly as compared to vaginal delivery. Conclusions: Elderly primigravida >30 years old had more difficulty in conceiving spontaneously as the fecundity is less with advanced age. The need for ovulation induction and other artificial reproductive techniques is higher in women with advanced age. The complications during pregnancy, labour and postpartum is higher in elderly primigravidas as compared to women less than 30 years of age.
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Singh, Kritina, Prashant Shrestha, Jeena Baaniya, and Prashansa Gurung. "Pregnancy Outcome Among Primigravidae Aged 35 Years and Above: A Comparative Study." Journal of Lumbini Medical College 8, no. 1 (2020): 17–21. http://dx.doi.org/10.22502/jlmc.v8i1.331.

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Introduction: Maternal age is an important determinant of pregnancy outcome. Women aged 35 years ormore at their first pregnancy are considered high risk as they are associated with increased adverse maternaland perinatal outcomes. Methods: A retrospective, comparative study was carried out over a period of two years in a tertiary center. Each elderly primigravida was matched with two primigravidwomen aged 20-34 years who delivered during the same period. Secondary data on obstetric outcomes (diabetes, oligohydramnios, polyhydramnios, hypothyroidism), postpartum complications (post-partum hemorrhage, postpartum eclampsia) and perinatal outcome (intra-uterine growth restriction, prematurity, congenital anomalies, and neonatal death)of 82 elderly primigravidae (study group) was compared to 164 younger primigravida (control group) delivered during the period of study. The Chi Square test and Fisher’s Exact test were used for statistical analysis and p value of <0.05 was taken as level of significance. Results: During the study period, there were 15,012 deliveries and 82 of these were elderly primigravidae giving an incidence of 0.55%. The mean age of the elderly primigravidae was 36.8±2.16 years. The study group had more antepartum complications with preterm labor, diabetes in pregnancy, hypertensive disorders in pregnancy, multiple pregnancy and polyhydramnios (p<0.05). Seventy-one elderly primigravidae were delivered by caesarean section, the commonest indication being maternal request. The study group had higher incidence of post-partum hemorrhage but no perinatal mortality of significant proportion. Conclusion: Maternal age at the first pregnancy influences pregnancy and neonatal outcomes. Hence, elderly primigravidae should be considered as high risk and followed up accordingly.
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Pradhan, Kumudini, Lina Baru, and Ashish Dharua. "Pregnancy outcome in elderly primigravida." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 12 (2019): 4684. http://dx.doi.org/10.18203/2320-1770.ijrcog20195172.

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Background: Incidence of elderly primigravida has increased now days, due to rising education level, effective means of birth control and high carrier goals. The women who conceived in advanced age more than 35 years for first time is defined as elderly primigravida. Indian standard is fixed at more than 30 years by Dutta 2013. These women are high risk for maternal and foetal complication and outcome. The study was done to assess pregnancy outcome in elderly primigravida.Methods: This is a prospective hospital-based study done from October 2016 to November 2018. Women of reproductive age group with first pregnancy admitted to department of obstetrics and gynaecology, Veer Surendra Sai Institute of Medical Science and Research, Burla were taken after exclusion criteria.Results: The incidence of elderly primigravida was 2.51%. But majority (84.76%) though married early, conceived late. Most of them are belongs to high socioeconomic group (62.86%). Anaemia was commonest complication (28.57%), fibroid in 5.71% cases. Pre-eclampsia (18.09%), eclampsia (3.81%), IUGR (12.38%) and twin pregnancies (5.72%) were seen more frequently than young primigravida. 55.24% were developed complications during labour like foetal distress (33.33%), PPH (3.81%) and retained placenta (2.86%). Gestational diabetes mellitus in (0.95%), caesarean section rate 29.52%, normal delivery 51.42%, and congenital anomaly 8.15%.Conclusions: Elderly primigravida are high-risk for several complications like spontaneous abortion, preterm labour, prolonged labour, foetal distress, high caesarean rate, PPH, congenital anomaly and increased incidence of perinatal mortality. Majority of this patients properly supervised are capable of safe and successful pregnancies ending in healthy mother and healthy baby.
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Resnik, Robert. "The Elderly Primigravida in 1990." New England Journal of Medicine 322, no. 10 (1990): 693–94. http://dx.doi.org/10.1056/nejm199003083221010.

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Narwat, Yogesh, Annet Thatal, and Pesona Grace Luksom. "Fetomaternal outcome in elderly primigravida." Indian Journal of Obstetrics and Gynecology Research 7, no. 2 (2020): 243–46. http://dx.doi.org/10.18231/j.ijogr.2020.050.

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Pegu, Bhabani, and Bhanu Pratap Singh Gaur. "Elderly primigravida and a comparative analysis of their pregnancy outcome with younger primigravida." International Journal of Research in Medical Sciences 6, no. 11 (2018): 3478. http://dx.doi.org/10.18203/2320-6012.ijrms20184402.

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Background: Though pregnancy and child birth is a normal physiological process but a woman with advanced age is a risk factor for adverse pregnancy outcome. This study was conducted to find out the proportion of elderly primigravida and to compare their pregnancy outcome with that in younger primigravida of aged 20-25yrs.Methods: A retrospective study was carried out over a period of two years in a tertiary care hospital of Meghalaya. Secondary data on obstetrics outcome of 54 elderly primigravida aged ≥35 years (study group) was compared to 120 younger primigravida (control group) of aged 20-25 years, delivered during the period of study. The chi square test and Fisher’s exact test were used for statistical analysis and p value of <0.05 was taken as level of significance.Results: During two years of study period, 2048 patients had delivered, out of which 411 (20.1%) were primigravida, 54 (2.6%) were elderly primigravida, 120 (5.9%) were in the younger age groups and 66 (3.2%) were teenage pregnancy. Pregnancy induced hypertension (PIH) with preeclampsia 12 (22.2%), preterm labour 2 (3.7%), instrumental delivery 6 (11.1%), caesarean section 32 (59.3%) were found significantly higher in study group.Conclusions: In our study, the prevalence of elderly primigravida was 2.6% and they had high rates of complications during antenatal period and course of labour than younger primigravida.
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Smitha, K1, B. T. Veena, Varadarajan Reethu, and Sushma. "A Comparative Study of Pregnancy Outcome in Elderly Primigravida and Younger Primigravida." International Journal of Current Pharmaceutical Review and Research 16, no. 01 (2024): 96–101. https://doi.org/10.5281/zenodo.10990816.

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AbstractBackground: Societal changes in maternal age demographics, marked by increased educational andprofessional pursuits, necessitate an in-depth examination of pregnancy outcomes for elderly primigravida.Understanding the complexities surrounding advanced maternal age is crucial for tailoring effective antenatalcare and interventions to ensure favorable maternal and neonatal outcomes.Objective: This study aims to compare pregnancy outcomes between elderly primigravida (≥35 years) andyounger primigravida.Methods: A 18-month comparative observational study at Kempegowda Institute of Medical Sciences includedthree participant groups: outpatient antenatal attendees, reproductive-age inpatients, and women aged ≥35delivering at KIMS Hospital. Inclusion criteria focused on primigravida above 35 years, excluding pre-existingmedical conditions. Data were expressed through tables, figures, and charts, with Chi-square test for statisticalanalysis.Results: Elderly primigravida had a significantly higher mean age (35.96 vs. 24.34). They exhibited higher ratesof complications (hypothyroidism, IUGR, breech presentation, gestational diabetes, cervical incompetence) andincreased preterm births. Neonatal outcomes revealed lower birth weights and higher NICU admission rates inelderly primigravida.Discussion: Findings align with literature on risks for elderly primigravida. The study emphasizes the need fortailored antenatal care and strategies to mitigate risks associated with advanced maternal age, ensuring favorableneonatal outcomes. Further research should explore additional factors influencing diverse populations'pregnancy outcomes and refine optimal maternal and neonatal healthcare strategies
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Shweta Sharma, Shishram Saini, Rizwana Shaheen, Asmita Arun, Neetu Gehlot, and Kirti Gupta. "Study of fetal and maternal outcome and associated risk factors in elderly primigravida pregnant women at tertiary care center in Western Rajasthan." Asian Journal of Medical Sciences 16, no. 5 (2025): 66–70. https://doi.org/10.71152/ajms.v16i5.4451.

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Background: Elderly primigravida is one aged 35 or more at first delivery. Elderly primigravida combines the concerns of advanced maternal age with those of obstetrically untested primigravida. While the risks related to multiple pregnancy and previous pregnancy are not applicable, there is an added dimension of precious pregnancy reflecting concern this pregnancy maybe the one and only opportunity to have a child. Aims and Objectives: The aims and objectives of the study are to determine antenatal complications among elderly primigravida woman and maternal and fetal outcome associated with pregnancy in elderly primigravida women. Materials and Methods: A prospective observational study was conducted in the Department of Obstetrics and Gynaecology at Umaid Hospital, Jodhpur, on 90 patients during the period of February 2024–July 2024 at Umaid Hospital, Jodhpur, in primigravida females of age 35 or more having their first delivery at Umaid hospital. Patients who gave consent and satisfied inclusion criteria were included in study. Results: Mean age of patient was 36.7 years and mean gestational age of delivery was 37.1 weeks. Major cause of delayed conception was infertility (58.9%) followed by late marriage (40%) and career preference (1.1%). Common antenatal obstetric complications in elderly primigravida were HDOP (28.8%), oligohydramnios (17%), gestational diabetes mellitus (14.4%), and preterm labor (11%). Twin pregnancies were significantly higher in patients aged 40 and above (58.3%) compared to younger patients. Conclusion: The study shown that advanced maternal age pregnancy is a high risk pregnancy which needs special care and more careful antenatal monitoring. Significantly higher incidence of hypertensive diseases in pregnancy and twin gestation was seen with increasing maternal age.
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Mohapatra, Ipsita, Swetalin Mishra, Ajit Kumar Nayak, Madhusmita Hembram, and Rabindra Naik. "Maternal Complications and Foetal Outcomes in Elderly Primigravida." SSR Institute of International Journal of Life Sciences 10, no. 4 (2024): 5809–14. http://dx.doi.org/10.21276/ssr-iijls.2024.10.4.2.

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Bhankhar, Ronak R., Anjali R. Chavda, and Hemali N. Patel. "A study of fetomaternal outcome in elderly primigravida." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 3 (2023): 716–20. http://dx.doi.org/10.18203/2320-1770.ijrcog20230544.

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Background: Elderly primigravida is defined as all women going through their first pregnancy over the age of ≥35 years. They are considered to be categorized as high-risk pregnancy. Advanced contraception methods and artificial reproductive technology have played key role in delaying the pregnancy. Methods: A retrospective study of fetomaternal outcome in elderly primigravida was conducted at department of obstetrics and gynecology, GMERS medical college, Junagadh from 1st September 2021 to 1st August 2022. All the patient data was obtained from their case records and indoor files and were followed up till delivery for fetal outcome. Results: There were 54 elderly primigravida patients in our study with an incidence of 1.05% based on the inclusion criteria with 96.3% between the age 35-40 years. Most common reason for delayed child bearing was pursuing higher education and work preferences. Gestational hypertension was most common maternal complication (48%), associated with preeclampsia in 28%. Among fetal complications 46% had low birth weight, 38.5% had IUGR. 54% patients had delivered by LSCS. Conclusions: Although elderly primigravida is considered a high-risk pregnancy with increased maternal and fetal complications, proper antenatal care, early recognition of maternal risk factors with timely intervention pregnancy outcome can be improved.
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Dissertations / Theses on the topic "Elderly Primigravida"

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Teng, Ying-Chun, and 鄧映君. ""Competing with Time"-Living Situations and Coping Strategies of Elderly Primigravidas Aged 40 and older." Thesis, 1997. http://ndltd.ncl.edu.tw/handle/80775495898555608574.

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碩士<br>國立臺灣大學<br>護理學系<br>85<br>The purpose of the qualitative study was to explore the actual livingsituations of the elderly primigravidas aged forty and older, and to understandthe coping strategies dealing with these situations during their pregnantperiod. The research subjects were four women who had first pregnancy after agedforty. The field method“observer as participant”was employed in this study.The researcher served as a care-giver and nurse-participant observer whilecollecting research data. The process of data collection started from the weektwenty-eight to thirty-one of pregnancy of the subjects and ended in delivery; total nine to eleven weeks successively. During the process, the researcherwrote down as a narrative process recording including the spontaneous verbaland non-verbal behavior expressed by these elderly primigravidas at the timeof each prenatal examination. Through content analysis, the data were analyzed,classified, and categorized. The results of this research were as following: The six main themes of living situations experienced by these elderlyprimigravidas were: 1)Concerning for the finite reproductive time；2)Surprisingabout the preservation of reproductive capacities； 3)Perceiving a changinglife style which was over anticipated；4)Feeling unsecure about the maternal-fetal health related to aging; 5)Feeling sorry for missing the rightist timeof childrearing； 6)Enmeshing in worrying about the future while reaching thedue date. There were also six main themes derived from these women''s copingstrategies : 1)Recognizing the aging impact of reproductive function；2)Looking for the recognition of elderly primigravida in order to support byoneself；3)Re-orienting the roles in ongoing life；4)Developing strategies tomake sure a safe pregnancy； 5)Planning the parenthood； 6)Made preparationsto reduce the risks of delivery. Although the elderly primigravidas'' situations and their copingstrategies were changing with time and space, the “concerning for the finitereproductive time”（living situation） and the“ recognizing the aging impactof reproductive function”（coping strategy）were conducting before theirpregnancy. The“surprising about the preservation of reproductive capacities”（living situation） and the“Looking for the recognition of elderlyprimigravida in order to support by oneself”（coping strategy）were conductingin the early stage of pregnancy.When waiting for delivery in the latest periodof pregnancy, these women felt much more uncertain than ever. For the othersituations and coping strategies follow no particular time pattern ordinarily. The results of this research indicates the living situations and thecoping strategies of the elderly primigravidas aged forty and older, whichcan help nursing staffs further understand the prenatal caring needs of elderlyprimigravidas and lead to better nursing practices.
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Book chapters on the topic "Elderly Primigravida"

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Silverton, Louise. "The elderly primigravida." In Midwifery Practice. Macmillan Education UK, 1993. http://dx.doi.org/10.1007/978-1-349-12936-2_5.

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Teltumbde, Archana, and Vaishali Taksande. "Research Study Protocol - Evaluation of Comparative Efficacy of Modified Comprehensive Care Map (MCCM) for Elderly Primigravida Mothers with Caesarean Section as Against Clinical Pathway, Improving Maternal and Neonatal Outcomes." In Advances in Sports Science and Technology. CRC Press, 2025. https://doi.org/10.1201/9781003616283-119.

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Salhan, Sudha. "Elderly Primigravidae." In Textbook of Obstetrics. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10928_49.

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Salhan, Sudha. "Chapter-48 Elderly Primigravidae." In Gynecological Cancer. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10333_49.

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