DOI: 10.36347/sasjm.2023.v09i01.007

Pages: 30-35

Introduction: Late pregnancies are a hot topic for both women and perinatal health workers because of their increasing increase. In the elderly primiparous pregnancy, pregnancy has always preoccupied birth attendants for a long time because high-risk pregnancy is the one that is associated with certain risk factors that can hinder its normal evolution. Objective: Study childbirth in the elderly primiparous at the Reference Health Center of Commune V of the District of Bamako. Materials and Methods: This was a retrospective and analytical case/control study (1 case for 2 controls), from 1January 2019 to 31 December 2021.It had covered all deliveries recorded in the ward. Results: The frequency of delivery in the elderly primiparous was 0.36%. The most educated elderly primiparous accounted for 73.3% (p=0,000; OR= 2.014; 95% CI = [0.006-0.31]). Dystocia was the most common obstetric complication (p=0.13; OR= 0.69; 95% CI = [0.42-1.12]). Caesarean delivery accounted for 77.1% in cases versus 49% in controls (p=0.000; OR= 0.28; 95% CI = [0.170.48]). Apgar's score was greater than or equal to 8 in 90.5% of cases versus 82.4% of controls. We have not recorded any maternal deaths. Conclusion: Pregnancy and childbirth in the elderly primiparous are risk situations in some cases. Childbirth in the elderly primipare requires a skill that can detect and prevent morbid situations and allow adequate care.