Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Purpose: To analyze whether ≥ 40-year-old women have an increased risk of intrapartum caesarean delivery and perinatal complications compared to younger mothers. Materials and Methods: Retrospective data was collected on nulliparous women with no contraindications to vaginal delivery during a six-month period (n = 175). Results: ≥ 40-year-old pregnant women (n = 54) have a higher rate of intrapartum caesarean delivery, elective onset of labour, and gestational diabetes mellitus (GDM), compared to younger women. Newborns to younger mothers were heavier than those born to older mothers (p = 0.037), despite the fact that gestational age at delivery was similar for both groups. No statistically significant differences were seen regarding the incidence of hypertensive and growing disorders, instrumental delivery rate, dystocia, postpartum maternal complications, low Apgar scores at one and five minutes and arterial blood cord pH ≤ 7.10. Conclusions: ≥ 40-year-old women at delivery have an increased risk of intrapartum caesarean rate than younger women.
