|
Abstract Objective: To analyze the pregnancy outcomes of elder women with vaginal delivery again after history cesarean section and its correlation with age. Methods: Totally 2225 prgenant women with history cesarean section in Miyun district hospital of Beijing were included from December 2012 to December 2017, which included 735 prgenant women with equal to or more than 35 years old and 1539 prgenant women less than 35 years old. Among 735 elder prgenant women, there were 98 cases with vaginal delivery and 625 cases with cesarean section again. The maternal pregnancy outcomes were analyzed. Results: There were no statistically significant different in the rates of complications and adverse pregnancy, and pregnancy outcomes between women with vaginal delivery and women with cesarean again (P>0.05). In women with vaginal delivery, the incidences of assist pregnancy and pregnancy complication, and rate of abnormal fetal age, rate of chromosomal abnormality and abnormal fetus, and rate of newborns entered neonatal ICU of elderly parturients were significant higher than those of norml age parturients. Correlation analysis had showed that advanced age was the high risk facter with low birth weight (OR=2.825), preterm birth (OR=1.913), overdue babies (OR=1.445), chromosomal abnormalities (OR=1.673), teratogenic newborns (OR=2.124)，or newborns entered neonatal ICU (OR=2.512). Conclusion: The incidence of complications during pregnancy and adverse pregnancy outcomes are higher in preganent women with advanced age. And it is feasible to choose vaginal delivery for preganent women with advanced age.
|
|
|
|
|
|
