Obstetric complications and advanced maternal age

被引:1
作者
Ramos, Santiago G. Cabrera [1 ,2 ,3 ,4 ,5 ]
机构
[1] Univ Nacl Mayor San Marcos UNMSM, Fac Med, Lima, Peru
[2] UNMSM, Postgrad Comm Gynecol & Obstet, Lima, Peru
[3] Peruvian Soc Obstet & Gynecol SPOG, Lima, Peru
[4] Peruvian Soc Ultrasound Obstet & Gynecol SPUOG, Lima, Peru
[5] Hosp Nacl Docente Madre Nino San Bartolome, Lima, Peru
来源
REVISTA PERUANA DE GINECOLOGIA Y OBSTETRICIA | 2023年 / 69卷 / 03期
关键词
Maternal age; Diabetes mellitus; Preeclampsia; Maternal mortality; Perinatal mortality; Cesarean delivery; IN-VITRO FERTILIZATION; UNITED-STATES; DELAYED CHILDBEARING; EXPECTANT MANAGEMENT; DYSTOCIA INCREASES; ADVERSE OUTCOMES; CESAREAN-SECTION; BIRTH-DEFECTS; RISK; PREGNANCY;
D O I
10.31403/rpgo.v69i2553
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Advanced maternal age is directly proportional to the risk of obstetric and non -obstetric complications during gestation, both for the pregnant woman and the fetus. This is particularly important because the fertility rates of older women have increased. In the US, 10% of first births and 20% of all births occur to women 35 years of age or older. Historically, advanced maternal age has been defined as an age greater than or equal to 35 years, a cutoff point that is supported by declining fertility and the increased risk of genetic abnormalities in the offspring of women older than this age. However, the effects related to increasing age are continuous and the risk is greater the older the age at conception rather than as an effect of passing the 35 years threshold. Research has shown that older pregnant women are at increased risk of early pregnancy complications such as miscarriage, ectopic pregnancy, chromosomal abnormalities and congenital malformations, as well as, preeclampsia, gestational diabetes, placental pathology, preterm delivery, low birth weight, perinatal mortality, multiple pregnancy, dystocic delivery, cesarean delivery and maternal mortality. This article reviews recent publications on the subject and includes statistics from a major hospital in Lima, Peru, and from the National Demographic and Family Health Survey -ENDES, 2022.
引用
收藏
页数:12
相关论文
共 50 条
[41]   Medizinische Komplikationen später MutterschaftMedical complications of advanced maternal age [J].
Christian Haslinger .
Der Gynäkologe, 2017, 50 (10) :744-751
[42]   Risk factors for obstetric anal sphincter injury among nulliparous of advanced maternal age [J].
Meyer, Raanan ;
Levin, Gabriel .
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2022, 35 (25) :9391-9397
[43]   Perception of Pregnancy Risk and Related Obstetric Factors among Women of Advanced Maternal Age [J].
Sangin, Siriwan ;
Phonkusol, Chotip .
PACIFIC RIM INTERNATIONAL JOURNAL OF NURSING RESEARCH, 2021, 25 (03) :494-504
[44]   Relationship between Maternal Body Mass Index and Obstetric and Perinatal Complications [J].
Ballesta-Castillejos, Ana ;
Gomez-Salgado, Juan ;
Rodriguez-Almagro, Julian ;
Ortiz-Esquinas, Inmaculada ;
Hernandez-Martinez, Antonio .
JOURNAL OF CLINICAL MEDICINE, 2020, 9 (03)
[45]   Critical care in the obstetric patient: Complications, interventions and maternal and fetal outcomes [J].
Rojas, J. A. ;
Miranda, J. E. ;
Ramos, E. ;
Fernandez, J. C. .
CLINICA E INVESTIGACION EN GINECOLOGIA Y OBSTETRICIA, 2011, 38 (02) :44-49
[46]   Do differences in maternal age, parity and multiple births explain variations in fetal and neonatal mortality rates in Europe? - Results from the EURO-PERISTAT project [J].
Anthony, Sabine ;
Jacobusse, Gert W. ;
van der Pal-de Bruin, Karin M. ;
Buitendijk, Simone ;
Zeitlin, Jennifer .
PAEDIATRIC AND PERINATAL EPIDEMIOLOGY, 2009, 23 (04) :292-300
[47]   Advanced maternal age and adverse perinatal outcomes in an Asian population [J].
Hsieh, T'sang-T'ang ;
Liou, Jui-Der ;
Hsu, Jenn-Jeih ;
Lo, Liang-Ming ;
Chen, Szu-Fu ;
Hung, Tai-Ho .
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2010, 148 (01) :21-26
[48]   The experiences of pregnant women at an advanced maternal age: an integrative review [J].
Aldrighi, Juliane Dias ;
Wall, Marilene Loewen ;
Rossi Kissula Souza, Silvana Regina ;
Vieira Cancela, Franciane Zabloski .
REVISTA DA ESCOLA DE ENFERMAGEM DA USP, 2016, 50 (03) :509-518
[49]   Effect of Planned Mode of Delivery in Women with Advanced Maternal Age [J].
Melissa Lavecchia ;
Melanie Sabbah ;
Haim A. Abenhaim .
Maternal and Child Health Journal, 2016, 20 :2318-2327
[50]   Regional differences in the prevalence of obstetric complications in relation to maternal obesity and food purchases [J].
Pellonpera, Outi ;
Meinila, Jelena ;
Nevalainen, Jaakko ;
Sormunen-Harju, Heidi ;
Metsala, Johanna ;
Gissler, Mika ;
Fogelholm, Mikael ;
Erkkola, Maijaliisa ;
Saarijarvi, Hannu ;
Koivusalo, Saila .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2025, 104 (07) :1274-1285