Obstetric and perinatal outcomes in women ≥40years of age: Associations with fetal growth disorders
| Autor: | Yesenia Zapata-Masias, Belén Marqueta, E Gonzalez-Bosquet, M. Gómez Roig |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Birth weight Pregnancy in Diabetics Fetal Macrosomia 03 medical and health sciences 0302 clinical medicine Pregnancy Diabetes mellitus Fetal growth medicine Fetal macrosomia Birth Weight Humans Prospective Studies 030212 general & internal medicine Advanced maternal age Prospective cohort study Gynecology Fetal Growth Retardation 030219 obstetrics & reproductive medicine Cesarean Section business.industry Pregnancy Outcome Obstetrics and Gynecology medicine.disease Pregnancy Complications Premature birth Pediatrics Perinatology and Child Health Premature Birth Female business Maternal Age |
| Zdroj: | Early Human Development. 100:17-20 |
| ISSN: | 0378-3782 |
| DOI: | 10.1016/j.earlhumdev.2016.04.010 |
| Popis: | Evidence indicates that advanced maternal age is associated with adverse obstetric and perinatal outcomes. The purpose of this study was to evaluate pregnancy outcomes in women of advanced maternal age (≥40years).Using a prospective study design, data were collected by the Department of Obstetrics at the San Joan de Deu Hospital of Barcelona during the 1 June 2009 to 31 May 2012 period. The results were compared across three maternal age groups (≥40 [n=654], 35-39 [n=2781], and35 [n=7893] years).Of the 11328 births recorded during the study period, pregnancy-related complications were more common in women ≥40years of age. The most common disorder was diabetes (8.5% in the ≥40, 5.3% in the 35-39, and 3.0% in the35years age groups). The women ≥40years of age also had significantly more premature births (p=0.001) and cesarean sections (17% in the ≥40, 12.5% in the 35-39, and 7.9% in the35-year age groups; p=0.001). Intrauterine growth retardation was significantly more frequent in women aged ≥40years (17.4% in the ≥40, 15% in the 35-39, and 14.0% in the35-year age groups; p=0.03). Fetal macrosomia was significantly more common in women ≥40years (15.4% in the ≥40, 12.6% in the 35-39, and 12% in the35-year age groups; p=0.03).Maternal age ≥40years was associated with poorer obstetric and perinatal outcomes and increased the risks of cesarean section, intrauterine growth retardation, and fetal macrosomia. |
| Databáze: | OpenAIRE |
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