Pregnancy Outcomes in Women Aged 20–34 vs. ?35 Years:  A Cross-Sectional Study in a Tertiary Referral Center

Farsyah Septrial Hendra Syahputra; Adhi Pribadi; Dini Hidayat; Eppy Darmadi Achmad; Andi Kurniadi

doi:10.32771/inajog.v14i1.2460

Authors

Farsyah Septrial Hendra Syahputra Faculty of Medicine, Universitas Padjadjaran Dr. Hasan Sadikin Hospital Bandung
Adhi Pribadi Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran Dr. Hasan Sadikin Hospital Bandung
Dini Hidayat Department of Obstetrics and Gynecology Universitas Padjadjaran Dr. Hasan Sadikin Hospital Bandung
Eppy Darmadi Achmad Department of Obstetrics and Gynecology, Universitas Padjadjaran Dr. Hasan Sadikin Hospital, Bandung
Andi Kurniadi Department of Obstetrics and Gynecology, Universitas Padjadjaran Dr. Hasan Sadikin Hospital, Bandung

DOI:

https://doi.org/10.32771/inajog.v14i1.2460

Abstract

Objective: This study aims to compare pregnancy outcomes between mothers under and over 35 years of age at Dr. Hasan Sadikin General Hospital.

Methods: An observational analytic approach with a cross-sectional design was used. Data from the medical records of 150 patients at Dr. Hasan Sadikin General Hospital in 2022 were analyzed. Patients were divided into two groups: ages 20-34 and greater than or equal to 35. Data analysis was performed using SPSS version 27.0.

Results: Advanced maternal age was significantly associated with mode of delivery [OR 2.16, 95% CI (1.08-4.28), p=0.048], hypertensive disorders of pregnancy [OR 3.99, 95% CI (1.86-8.38), p<0.001], and postpartum hemorrhage [OR 2.93, 95% CI (0.99-8.79), p=0.044].

Conclusion: This study affirmed that advanced maternal age is associated with adverse maternal outcomes, namely hypertensive disorders of pregnancy and postpartum hemorrhage. Moreover, compared to mothers aged 20-34, advanced maternal age is linked with higher rates of cesarean deliveries and forceps deliveries.

Keywords: Advanced maternal age pregnancy, Adverse maternal outcomes, Neonatal outcomes, Peak reproductive years, Complications of pregnancy