Pregnancy Outcome at Extremely Advanced Maternal Age
| Autor: | Nir Melamed, Kinneret Tenenbaum-Gavish, Gadi Ben-Shitrit, Ron Bardin, Avi Ben-Haroush, Yariv Yogev |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
medicine.medical_specialty Subgroup analysis Fetal Distress Preeclampsia Cohort Studies Young Adult Pregnancy Reference Values Intensive Care Units Neonatal Infant Mortality Confidence Intervals Odds Ratio medicine Humans Advanced maternal age Israel Fetal Death Retrospective Studies Fetus Cesarean Section business.industry Obstetrics Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Infant Low Birth Weight Middle Aged medicine.disease Pregnancy Complications Gestational diabetes Low birth weight Diabetes Gestational Infant Small for Gestational Age Gestation Small for gestational age Premature Birth Female medicine.symptom business Infant Premature Cohort study Maternal Age |
| Zdroj: | Obstetric Anesthesia Digest. 31:156-157 |
| ISSN: | 0275-665X |
| DOI: | 10.1097/01.aoa.0000400299.33571.23 |
| Popis: | The purpose of this study was to evaluate pregnancy outcome in women at extremely advanced maternal age (≥ 45 years).We compared the condition of women aged ≥ 45 years (n = 177) in a 10:1 ratio (20-29, 30-39, and 40-44 years.). Subgroup analysis compared the condition of women aged 45-49 years with those women aged ≥ 50 years.The rates of gestational diabetes mellitus and hypertensive complications were higher for the study group, compared with the whole group (17.0% vs 5.6% and 19.7% vs 4.5%, respectively; P.001), as was the rate of preterm delivery at37 and34 weeks of gestation (odds ratio [OR], 2.1; 95% confidence interval [CI], 1.2-3.6 and OR, 3.5; 95% CI, 1.4-9.0, respectively). The rates of cesarean delivery (OR, 31.8; 95% CI, 18.0-56.1), placenta previa, postpartum hemorrhage, and adverse neonatal outcome were significantly higher among the study group. The risk for gestational diabetes mellitus, preeclampsia toxemia, preterm delivery, and neonatal intensive care unit admission was increased for women aged ≥ 50 years.Pregnancy at extreme advanced maternal age is associated with increased maternal and fetal risk. |
| Databáze: | OpenAIRE |
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