MATERNAL AGE AS A RISK FACTOR ON PREGNANCY OUTCOMES AT KISUMU COUNTY HOSPITAL IN KISUMU COUNTY.

Abstract

Advancing maternal age has become a notable trend in contemporary societies, presenting both challenges and complexities to obstetric care. This research aims to investigate the impact of advanced maternal age on pregnancy outcomes, with a specific focus on the effects of preexisting medical conditions and various pregnancy-related complications. The study employs a retrospective interview, analyzing data from a diverse population of pregnant women aged 15 years and older, attending antenatal clinics at tertiary healthcare centers. The first aspect of the research evaluates the association between advanced maternal age and preexisting medical conditions, particularly hypertension (HTN), diabetes mellitus (DM), and heart diseases. The objective is to discern if advanced maternal age acts as an independent risk factor or amplifies existing risks for these medical conditions, thereby affecting pregnancy outcomes. Logistic regression and other statistical techniques are utilized to assess the strength of the association. The second facet of the study delves into specific pregnancy complications prevalent among women of advanced maternal age. These complications include chromosomal abnormalities, placenta previa, preeclampsia, antepartum hemorrhage (APH), and postpartum hemorrhage (PPH). The research explores the incidence rates of these complications in relation to maternal age, aiming to identify any significant correlation. Additionally, the study investigates the impact of concurrent preexisting medical conditions on the occurrence and severity of these complications. The findings of this research will contribute to the current body of knowledge on advanced maternal age and its implications on pregnancy outcomes. By exploring the relationship between advanced maternal age, preexisting medical conditions, and specific pregnancy complications, healthcare providers will be better equipped to identify high-risk pregnancies in older women and tailor appropriate prenatal care strategies to optimize maternal and neonatal outcomes.