Dr. Shalini Kapoor Kad
Aug. 5, 2010
A homoeopathic paediatrician, a counselling expert and a freelance writer are a few words to describe my profession. My sole aim is to put forth practical piece of information that guides every one right in the direction, blending the medicos to a layman with a simple gesture to make the medical things a little less convoluted and comprehendible.
Though medical science advocates of pregnancy in a certain specific age group but with increasing influences, responsibilities and career inclinations most couples take the parameters to their own convenience. These days it is not uncommon to find elderly primigravida suffering the adverse consequences. Let’s understand the term and also know its entire niche in total.
Who is an elderly primigravida?
An elderly primigravida is a female having her first pregnancy at or either above the age of 30 years. The age frame is not a fixed one and is majorly based on the effects a pregnancy may bring along to the mother and the child beyond a certain age group. Here these can be broadly classified into two varieties, to begin are females who marry late and conceive soon after and the second category is of females who may be married when young but were unable to conceive till date. From the medicine point of view the foremost is a better situation to be as the immediate conception reveals underneath wellness and health whereas the second situation indicates for the troublesome factors that may have to be cared upon later as well. Also chances of conceiving again in a late conceiver are meagre and sceptical to assure.
What all complications may pop up?
Here array of things have to be considered and monitored during pregnancy, during labour and post pregnancy with increasing elderly heath concerns and a less supportive body frame as compared to a young one.
During the gestation it is clinically observed that there is increased incidence of: abortion, pre – eclampsia with increased chances of high blood pressure with age, placental disruption with pre – eclampsia is also a possibility, uterine fibroid, intrauterine growth restriction (IUGR) and post maturity (delayed delivery). Further medical complications with advancing age such as diabetes, heart ailments and hypertension may coexist and make things worse and unmanageable to handle.
During labour a doctor needs to follow up stringently as there can be chances of: premature labour, maternal and foetal distress, prolonged exhausting labour with chances of retained products of pregnancy. Every step is to be taken cautiously and carefully as a small mistake with lack of body support can lead to serious complications. The risks involved are high; demanding vigilance from all sides including the expecting mother, near family and the gynaecologist. A doctor should be prepared for every extension and should adapt wise with no delays what so ever. Experienced hands with little tactics will help for sure.
Post pregnancy the scenario doesn’t end for an aged as there can be failed lactation and also increased morbidity with operative indulgence earlier within the labour.
What to do?
Here the management will begin from the very first day of gestation considering all the risks involved. A strict supervision of the entire 9 months is integral. A doctor should be brainstormed for any deviation from the normal and no medication should be consumed on own to avoid complications later.
A regular ultrasound to ensure a safe healthy foetus is to done. Bed rest is advisable. Also depending on the situation certain breathing exercises under expert guidance may be advised to ease off anxiety and relieve undue stress.
Pregnancy is to be cared at any age but beyond 30 it demands a more extra.