The Influence of the Age of Pregnant Women over 35 Years on the Structure of Childbirth in Osh Region

The aim of this study was to examine the characteristics of pregnancy and childbirth among women of advanced reproductive age (35 years and older) at the Osh Interregional Clinical Hospital during the period 2011–2015. A total of 224 delivery histories were analyzed to assess the influence of maternal age on pregnancy course, methods of delivery, and frequency of complications. It was found that with increasing age, the risk of obstetric and gynecological pathology rises, including preterm and post-term deliveries, preeclampsia, eclampsia, premature rupture of membranes, postpartum hemorrhage, and the need for cesarean section. The rate of physiological deliveries among women over 35 years was 71%, preterm deliveries — 18%, and post-term — 11%. Among extragenital pathologies, anemia predominated (88%), followed by urinary tract diseases (30.2%) and genital infections (29.7%). The most frequent obstetric complications were preeclampsia (28.8%), perineal tears (50%), premature rupture of membranes (31%), and uterine inertia (29.3%). Cesarean section was performed in 40% of cases. It was revealed that high parity (more than three births) worsens the course of pregnancy and increases the risk of complications. However, in somatically healthy women over 35 years who lead a healthy lifestyle and undergo preconception preparation, pregnancy and childbirth can proceed physiologically, similar to those in younger women.

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