노령초산부에 관한 임상통계학적 고찰 = Clinical Studies on the Elderly Primiparas

다국어 초록 (Multilingual Abstract)

The elderly primipara is defined as a woman who is experiencing the birth of her first viable baby over 35 years of age. Elderly primipara and her fetus were subjected to danger of obstetric complications such as toxemia, dystocia, congenital anomaly, prematurity and stillbirth. We reviewed 46 elderly primiparas experiencing at Seoul Paik Hospital from January 1985 to December 1989. The result were obtained as follows; 1. There were 46 cases among total 5,254 deliveries and the incidence of the elderly primipara was 0.9%. 2. The maternal age was distributed from 35 to 44 years. The majority was in age group of 35~36 years. 3. Concerning the maternal complications, the incidence of hypertensive disorder was 10.9% that was higher compared with 4.5% in younger primiparas. 4. There were 43 cases with vertex presentation and 3 cases with breech presentation. 5. 26 cases delivered vaginally and 20 cases abdominally. 6. Among the incidence of Cesarean section, highest incidence was cephalopelvic disproportion. Other indications were breech presentation, fetal distress, placenta previa, abruptio placenta and failure to progress in labor in order. 7. There was no perinatal death and no congenital malformation.