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Master Thesis

La maternité après 40 ans : complications obstétricales et néonatales

Abstract : Goal: This work aimed to study superventions related to pregnancy and delivery for over-40 years old patients and compare it to sub-40 legal age patient ones. Cases compilation had been done in a context of regular follow-ups and delivery in a 3rd grade maternity. Material and method: To realize this work we implemented an exposed (≥40 years old) / unexposed (<40 years old) type retrospective cohort study from CHI de Poissy / Saint-Germain-en-Laye's (CHIPS) records, 3rd grade maternity. Patients' files had been collected thanks to Sillage®, information software and delivery notebook. Results: We compared 200 sub-40 patients versus 200 over-40 ones, both matched on parity. Cesarean and prematurity rates was significantly upper for 40 and over females (respectively 44,5% vs 15% and 10% vs 3,5%, p<0,05). Gestational diabetes and pre-eclampsia was significantly higher for exposed group (respectively 25,5% vs 14,5% and 4% vs 0,5%, p<0,05). Concerning neonatal state advanced maternal age had impacts on Apgar, lactates and birth weight with significantly poorer results compared to the unexposed group. Intensive care unit transfer rate was higher for over-40 and more females. Conclusion: Most of 40 and over females has a favorable pregnancy outcome. However maternal age still has an impact on mother-child couple future in spite of a strict follow-up with research on pathologies related to maternal age.
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Submitted on : Monday, May 17, 2021 - 10:52:31 AM
Last modification on : Wednesday, October 20, 2021 - 12:24:16 AM
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  • HAL Id : dumas-03227298, version 1

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Sophie Moreau. La maternité après 40 ans : complications obstétricales et néonatales. Gynécologie et obstétrique. 2020. ⟨dumas-03227298⟩

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