Does an Increase in Maternal Age Affect the Placental Delivery Method in Cesarean Section

Abstract

Background: A caesarean section is a medical operation that involves making incisions in the belly and uterus to deliver a baby. This operation is typically carried out when specific complications arise during pregnancy or labour. Placental removal is one such technique that may affect the results of caesarean deliveries. Although there is currently no research on this, it is speculated that an increase in maternal age may have an impact on how the placenta is delivered. Methodology: After ethical approval, this study was carried out at the gynaecology section of the Post Graduate Medical Institute at Lady Reading Hospital in Peshawar. The study involved 196 patients in total. The patients were split into two groups, A and B, at random using a lottery system. Group A involved those patients in whom the placenta was delivered spontaneously by controlled cord traction, whereas in Group B the placenta was removed manually. Based on age, patients were subcategorized as; 15-25; 26-35; 36-45 years. The approach utilised to acquire the samples was non-probability sequential sampling. Results: Our study showed that in Group A, 34 (35%) patients were in the age range of 15-25years; 42 (43%) patients were in theage range 26-35 years; 22 (22%) patients were in age range of 36-45 years. Mean age in group A was 25±2.77 years. Whereas in Group B, 34 (35%) patients were in the age range of 15-25 years; 44 (45%) patients were in age range of 26-35 years; 20 (20%) patients were in age range of 36-45years. Mean age was 27±3.12 years. A significant difference was found when the effect of age on the method of placental delivery was evaluated in females aged 36-45 years. Conclusion: Our study concluded that increase in maternal age decreases the rate of spontaneous removal of the placenta during cesarean deliveries.