Rezumat: Introduction. Pathologies associated with pregnancy at
extreme ages have potential significant clinical implications
for both maternal and fetal health. Identifying the most
common pathologies associated with pregnancy at extreme
ages is a first step in the development and adaptation of
protocols for health management given by midwives and
nurses to patients in the prenatal, intrapartum and postpartum
periods, according to the main risk factors related
to age. Materials and method. The objective of the study
was to evaluate a group of 186 pregnant patients who were
hospitalized for childbirth in the “Prof. Dr. Panait Sîrbu”
Clinical Hospital of Obstetrics and Gynecology, Bucharest,
within 12 months. The main objective of the study was to
identify the main pathologies associated with pregnancy
at extreme ages. All pregnant patients of 19 years old
or younger and of 39 years of age or older at the time of
admission were included in the analysis. During the study, a
quantitative research method was developed that evaluated
several aspects, thus outlining the medical profile
of patients. Results. Age comparative analysis of the data regarding
the associated pathologies revealed that the prevalence of
diabetes and hypertension was significantly
higher among pregnant women in the second age group (39 years or older), while the scarred uterus had a higher frequency
in pregnant women in the up to 19 years old group. The results of the
study also indicate a higher frequency of missed pregnancies
and intrauterine growth restrictions of fetuses in the patients
group aged 39 years and older. Conclusions. The results of the study suggest the need for distinct approaches of healthcare for the two categories, taking into account the main issues identified. In the case of patients up to 19 years old, most of them at their first pregnancy but with fewer pathological implications, the healthcare management must include a stronger educational component (given the lack of experience in raising and caring for the newborn), while for
the group of at least 39 years old, specific interventions are
needed to focus on improving the knowledge, attitudes and
practices of midwives and nurses regarding the prevention
and provision of healthcare to patients at risk of developing
pregnancy-related pathologies. Implementing healthcare
education programs among adolescents can be helpful in
ensuring a proper planning and in preventing unwanted pregnancies. Cuvinte cheie: midwives, nurses, health care, elderly pregnancy, pregnant teenagers.