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Obstetric Outcomes at Advanced Maternal Age

Received: 28 January 2014     Published: 20 March 2014
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Abstract

Objective: To compare obstetric outcomes among women at advanced maternal age in relation to another group of 20 to 29 years. Methods: this is an observational descriptive study. Women of advanced maternal age were 40 and older at the first pregnant control (N = 154). The control group were pregnant women between 20 and 29 years (N = 3900). Odds ratio (CI 95%), mean and standard deviation, median and Fisher exact test were used to compare. Results: The rate of chronic hypertension, preeclampsia, diabetes, and bleeding were higher in the study group when compared with the control group. The rate of caesarean sections (due to a great number of elective ones), preterm delivery <37 weeks and lower birth weight (< 2500g) were also higher in the study group. Conclusion: women at advanced maternal age have an increased risk of adverse outcomes during pregnancy and delivery compared to pregnant women between 20 and 29 years. This electronic document is a “live” template. The various components of your paper [title, text, heads, etc.] are already defined on the style sheet, as illustrated by the portions given in this document.

Published in Journal of Gynecology and Obstetrics (Volume 2, Issue 1)
DOI 10.11648/j.jgo.20140201.12
Page(s) 7-11
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Advanced Maternal Age, Delayed Childbearing, Pregnancy Complications

References
[1] Kreig SA, Henne MB and Westphal LM. Obstetric outcomes in donor oocyte pregnancies compared with advanced maternal age in in vitro fertilization pregnancies. Fertil Steril 2008; 90: 65-70.
[2] Bianco A, Stone J, Lynch L, Lapinski, Berkowitz G and Berkowitz RL. Pregnancy outcome at age 40 and older. Obstet Gynecol 1996; 87: 917-22.
[3] Yogev Y, Melamed N, Bardin R, Tenenbaum-Gavish K, Ben-Shitrit G and Ben-Haroush A. Pregnancy outcome at extremely advanced maternal age. Am J Obstet Gynecol 2010; 203: 558.e1-7.
[4] American College of Obstetricians and Gynecologists (ACOG). Age-Related Fertility Decline. ACOG Committee Opinion, number 413, august 2008.
[5] Jacobsson B, Ladfors L and Milsom I. Advanced Maternal Age and Adverse Perinatal Outcome Obstet Gynecol 2004; 104: 727–33. (LEVEL OF EVIDENCE: II-3)
[6] Delpisheh A, Brabin L, Attia E and Brabin BJ. Pregnancy Late in Life: A Hospital-Based Study of Birth Outcomes. J Womens Health (Larchmt). 2008; 17(6): 965–970.
[7] Callaway LK, Lust K, McIntyre HD. Pregnancy outcomes in women of very advanced maternal age. Aust N Z J Obstet Gynaecol. 2005; 45(1): 12-6.
[8] Gilbert WM, Nesbitt TS, Danielsen B. Childbearing beyond age 40: pregnancy outcome in 24,032 cases. Obstet Gynecol 1999; 93: 9 –14.
[9] Balducci J, Staud J, Curtis Bay R, Williamson KJ. Coonrod DV. Maternal and Perinatal Outcomes of Women With Advanced Maternal Age. Obstet Gynecol 2005;105 (Supplement N°4): 1115-6.
[10] Berkowitz GS, Skovron ML, Lapinski RH and Berkowitz RL. Delayed childbearing and the outcome of pregnancy. N Engl J Med 1990; 322:659-64.
[11] Cleary-Goldman J, Malone FD, Vidaver J, Ball RH, Nyberg DA, Comstock CH et al. Impact of Maternal Age on Obstetric Outcome. Obstetrics and Gynecology, 2005; 105 (5): 983-90.
[12] Joseph K S, Allen AC, Dodds L, Turner LA, Scott H and Liston R. The Perinatal Effects of Delayed Childbearing. Obstetrics and Gynecology, 2005; 105 (6): 1410-8.
[13] Usta IM and Nassar AH. Advanced Maternal Age. Part I: Obstetric Complications. American Journal of Perinatology 2008; 25 (8): 521-534.
[14] Khoshnood B, Bouvier-Colle MH, Leridon H and Blondel B. Impact of advanced maternal age on fecundity and women's and children's health, Journal de Gynecologie, Obstetrique et Biologie de la Reproduction. 2008; 37(8):733-47.
Cite This Article
  • APA Style

    Valenti Eduardo Alberto, Laterra Cristina Marta, Gowdak Andrea Olga, Cohen Arazi Raul. (2014). Obstetric Outcomes at Advanced Maternal Age. Journal of Gynecology and Obstetrics, 2(1), 7-11. https://doi.org/10.11648/j.jgo.20140201.12

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    ACS Style

    Valenti Eduardo Alberto; Laterra Cristina Marta; Gowdak Andrea Olga; Cohen Arazi Raul. Obstetric Outcomes at Advanced Maternal Age. J. Gynecol. Obstet. 2014, 2(1), 7-11. doi: 10.11648/j.jgo.20140201.12

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    AMA Style

    Valenti Eduardo Alberto, Laterra Cristina Marta, Gowdak Andrea Olga, Cohen Arazi Raul. Obstetric Outcomes at Advanced Maternal Age. J Gynecol Obstet. 2014;2(1):7-11. doi: 10.11648/j.jgo.20140201.12

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  • @article{10.11648/j.jgo.20140201.12,
      author = {Valenti Eduardo Alberto and Laterra Cristina Marta and Gowdak Andrea Olga and Cohen Arazi Raul},
      title = {Obstetric Outcomes at Advanced Maternal Age},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {2},
      number = {1},
      pages = {7-11},
      doi = {10.11648/j.jgo.20140201.12},
      url = {https://doi.org/10.11648/j.jgo.20140201.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20140201.12},
      abstract = {Objective: To compare obstetric outcomes among women at advanced maternal age in relation to another group of 20 to 29 years. Methods: this is an observational descriptive study. Women of advanced maternal age were 40 and older at the first pregnant control (N = 154). The control group were pregnant women between 20 and 29 years (N = 3900). Odds ratio (CI 95%), mean and standard deviation, median and Fisher exact test were used to compare. Results: The rate of chronic hypertension, preeclampsia, diabetes, and bleeding were higher in the study group when compared with the control group. The rate of caesarean sections (due to a great number of elective ones), preterm delivery <37 weeks and lower birth weight (< 2500g) were also higher in the study group. Conclusion: women at advanced maternal age have an increased risk of adverse outcomes during pregnancy and delivery compared to pregnant women between 20 and 29 years. This electronic document is a “live” template. The various components of your paper [title, text, heads, etc.] are already defined on the style sheet, as illustrated by the portions given in this document.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Obstetric Outcomes at Advanced Maternal Age
    AU  - Valenti Eduardo Alberto
    AU  - Laterra Cristina Marta
    AU  - Gowdak Andrea Olga
    AU  - Cohen Arazi Raul
    Y1  - 2014/03/20
    PY  - 2014
    N1  - https://doi.org/10.11648/j.jgo.20140201.12
    DO  - 10.11648/j.jgo.20140201.12
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 7
    EP  - 11
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20140201.12
    AB  - Objective: To compare obstetric outcomes among women at advanced maternal age in relation to another group of 20 to 29 years. Methods: this is an observational descriptive study. Women of advanced maternal age were 40 and older at the first pregnant control (N = 154). The control group were pregnant women between 20 and 29 years (N = 3900). Odds ratio (CI 95%), mean and standard deviation, median and Fisher exact test were used to compare. Results: The rate of chronic hypertension, preeclampsia, diabetes, and bleeding were higher in the study group when compared with the control group. The rate of caesarean sections (due to a great number of elective ones), preterm delivery <37 weeks and lower birth weight (< 2500g) were also higher in the study group. Conclusion: women at advanced maternal age have an increased risk of adverse outcomes during pregnancy and delivery compared to pregnant women between 20 and 29 years. This electronic document is a “live” template. The various components of your paper [title, text, heads, etc.] are already defined on the style sheet, as illustrated by the portions given in this document.
    VL  - 2
    IS  - 1
    ER  - 

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Author Information
  • Obstetrics and Gynaecology Department, Maternal and Childhood Hospital Ramón Sardá, Buenos Aires, Argentina

  • Obstetrics and Gynaecology Department, Maternal and Childhood Hospital Ramón Sardá, Buenos Aires, Argentina

  • Obstetrics and Gynaecology Department, Maternal and Childhood Hospital Ramón Sardá, Buenos Aires, Argentina

  • Obstetrics and Gynaecology Department, Maternal and Childhood Hospital Ramón Sardá, Buenos Aires, Argentina

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