UMAM

Synopsis on:
SOCIODEMOGRAPHIC FEATURES OF
PREGNANCY IN WOMEN OF AGE 35 TO 45
AND OBSTETRICS OUTCOMES OF LATE
PREGNANCIES IN THESE WOMEN.
Submitted By:
UMAM MAHAR (4TH YEAR MBBS)
Supervised by:
DR KHADIM
PEOPLES UNIVERSITY OF MEDICAL & HEALTH
SCIENCES FOR WOMEN, NAWABSHAH.
SOCIODEMOGRAPHIC
FEATURES OF
PREGNANCY IN
WOMEN OF AGE 35 TO
45 AND OBSTETRICS
OUTCOMES OF LATE
PREGNANCIES IN
THESE WOMEN.
INTRODUCTION:
Late pregnancies have been a sensitive
subject in society and in the medical field
since a couple of year .Over a last decade
developed countries have witnessed an
increase in the average age of conception and
delivery for a woman , in US between 19’s to
2000 the proportion of pregnant woman,
aged over 35 years has increased almost 8
times, indeed, maternal age has been
increasing for several decades with many of
late pregnancy in between 40 to 45 years old.
Earlier a pregnancy was considered late. If it
was a pain after 35 years today, the treasure
has shifted to 40 years or even 43 or 45
years, according to scientific literature ,
Centre of disease, control and prevention
report document and increasing birth rate
among advanced maternal age (AMA > 35
YEARS) .Woman over the past three decades
in the US the age of pregnancy over 40
termed as VAMA ( very advanced maternal
age) in about 45, EAMA (extremely advance
maternal age). This trend can be explained by
woman choosing to pursue a career in
financial security, leading them to postpone
childbearing age or explain by our societal
evolution, marked by a constantly increasing
level of studies by woman who have more
responsibilities at work in there for delay their
project of childbearing, giving their first
priority today professional career.
According to many research and studies, it is
well established that advancing maternal age
is associated with subfertility chromosomal
abnormalities in multiple gestation.
Advance maternal age is associated with

various economic social and health
complication to the mother and fetus or
neonates as well. MA is highly link with the
occurrence of pregnancy induced
hypertension, gestational diabetes, maternal
near-miss increase cesarean delivery mal,
presentation and maternal death and ectopic
pregnancies.
Alongside with this AMA is also result in new

complications such as low apgar score, NICU
admission, preterm delivery, low-birth-
weight, where defect chromosomal,
abnormalities, and perinatal death.
Fertility in women start to decline in early

30s, or even decrease faster after mid or late
30s women with advanced age, usually have a
relatively low tendency to achieve pregnancy
within a short period.
The aim of the study Is to evaluate the

relationship between advance maternal age
and prematurity , or whether maternal age is
an independent factor of obstructive fetal and
neonatal complications.
OBJECTIVES:
 To dermine socio, demographic
characteristic of pregnancy of advanced
age in
 To determine the outcome of late
pregnancy on mother and fetal health .
 To understand the cause in late
pregnancies
RATIONALE:
Late pregnancy shows huge impact on mother

and fetal health in so many ways. The aim of
this is study research to find out the outcome
of late pregnancy.
As there is increasing in age of pregnancy, it
shows sociodemographic characteristics of
late pregnancy in mother, obstructive
outcome of late pregnancy ,risk factor on
maternal and fetal health, due to late
pregnancy miscarriages ,due to late
pregnancy gestational hypertension and
diabetes, percentage of ectopic pregnancies
and other complications during pregnancies
which disturb the daily activities. To
understand the risk factors on fetal health like
chromosomal, abnormalities and congenital
anomalies ,impact on fetal growth, like small
for gestational age, infants and growth
restrictions Apgar scores is decrease and NICU
admission increases in late pregnancies.
OPERATIONAL DEFINITIONS:
Pregnancy the condition between conception

(fertilization of an egg by a sperm) and birth
during which the fertilized egg develops in the
uterus.
Obstetrics the branch of medicine and
surgery concerned with childbirth in mid
wifery
Gestational hypertension This condition
happens when you have only high blood
pressure during pregnancy and do not have
protein in your urine or other heart or kidney
problem.
Gestational diabetes mellitus type of
diabetes mellitus that can develop during
pregnancy in woman who do not already
have diabetes.
Maternal death when a pregnant or birthing
person dies during pregnancy or up to 42 days
after end of pregnancy from health problems
related to pregnancy.
Ectopic pregnancy type of pregnancy when a
fertilized egg implant itself out side of the
womb usually in one of the fallopian tubes.
Agar scor a measure of physical condition of
a newborn infant ,it is obtained by adding
points (2, 1 or zero from heart rate,
respiratory affect ,muscle tone and respons
stimulation and skin coloration )
OR the one minute scor determines how well
the baby tolerated to the birthing person.
Chromosomal abnormality is a disorder
characterized by morphological or numerical
alteration in a single or multiple
chromosomes affecting autosomes sex
chromosomes or both.
Congenital anomalies is a wide range of
abnormalities of body structure or function
that are present at birth and are of prenatal
origin.
MATERIALS AND METHODS:

 STUDY SETTING:
The research will be conducted in
 DURATION OF STUDY:
Not less than six months after synopsis
approval.
 Study Design
 Sampling Technique
 Sample Size:
 SAMPLE SELECTION
 Inclusion Criteria:
Age of age of pregnant woman is
between 35 to 45
 Exclusion Criteria
Age should not be less than 30 years
Data Collection Method:

After approval from synopsis review
committee data will be collected by using
structured Questionnaire . Pregnant female
should be the age of between 35 years to 45
years, not less than 30 years. Including in the
study by considering the inclusion and
exclusion criteria. collection of information
regarding the socio demographic
characteristics of a pregnant female i.e age,
occupation, economic status, marital status
education, no of children, along with other
medical conditions, physical activities, and
others.
Data Analysis.
Ethical Consideration
 Privacy will maintain at all cost
 Consent will be taken from the
respondent and formal connsent and
permission will be taken from ethical
review to conduct the study
Questionnares
 Name
 Age
 Resident
1. Urban
2. Ruler
 Occupational status
1. Working lady
2. House wife
 Educational status
1. Lit rate
2. Illiterate
 Social economic status
1. Middle class
2. Upper class
3. Lower class
 Number of pregnancies
1. One
2. Two
3. more
 Any abortion or miscarriage history
1. Yes
2. No
 Any drug history
1. Yes
2. No
 Reason of late pregnancy

1. Health issue
2. Other issue
 Any other disease history
1. Yes
2. No
 How many visit have you done your
Appointments during pregnancy
1. Monthly
2. Trimester
 Ultrasound or any other report do you

1. Yes
2. No
 Have How much weight have you gained
1. Yes
2. No
 Ever use contraception

1. Yes
2. No
 Ever thought of family planning
1. yes
2. no
 Menstruation cycle history
1. Regular
2. Irregular
3. Amenorrhea
4. Dysmenorrhea
REFERANCES.
1. PLOS ONE
2. FRONTIERS IN MEDICINE
3. GOOGLE STORE
4. INTERNATIONAL JOURNOL OF
WOMEN HEALTH
5. SCIENTIFIC REPORTS
6. RESEARCH GATE
THANK YOU

UMAM

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Synopsis on:

Advance maternal age is associated with

Alongside with this AMA is also result in new

Fertility in women start to decline in early

The aim of the study Is to evaluate the

Late pregnancy shows huge impact on mother

Pregnancy the condition between conception

MATERIALS AND METHODS:

Data Collection Method:

 Reason of late pregnancy

 Ultrasound or any other report do you

 Ever use contraception

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