A Comprehensive Approach to Care of Women of Advanced Maternal Age
| Autor: | Christopher S. Ennen, Andrew S. Thagard, Kathleen J. Bailey, Carrie M. Dillon |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Pregnancy medicine.medical_specialty Preterm labor Nurse practitioners business.industry Incidence (epidemiology) Pregnancy Outcome Reproductive life Mothers Prenatal care medicine.disease Fetal aneuploidy Pregnancy Complications Family medicine Humans Medicine Female Comprehensive Health Care Advanced maternal age business Delivery of Health Care General Nursing Maternal Age |
| Zdroj: | Nursing for Women's Health. 23:124-134 |
| ISSN: | 1751-4851 |
| DOI: | 10.1016/j.nwh.2019.02.002 |
| Popis: | Advanced maternal age, historically defined as ages 35 years and older, is used to describe the later years in the female reproductive life span when rates of adverse pregnancy outcomes increase. The preconception period represents an opportunity to ensure the use of safe medications and optimize care for medical comorbidities. Routine prenatal care should be augmented with counseling on fetal aneuploidy with a detailed anatomic survey. Surveillance for preterm labor and preeclampsia is recommended. Growth assessment and antepartum testing for specific women are advised, particularly those ages 40 years and older and those with select medical problems. Despite an increased incidence of complications, most women of advanced maternal age will have normal pregnancies and will benefit from the compassionate care provided by midwives, advanced practice registered nurses (including nurse practitioners and clinical nurse specialists), and perinatal nurses. |
| Databáze: | OpenAIRE |
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