Attention for fetomaternal and obstetric outcomes of advanced maternal age: a broad range clinical evaluation

Abstract

Aim: Pregnancy ≥ 35years may lead to different health problems in neonates. The present study was aimed to investigate the effect of pregnancy ≥ 35 on maternal and infant health. Material and Method: Mothers of the neonates in our neonatal unit were separated into two groups and compared: Group I comprised those between 18 and 35 years old, and Group II comprised those ≥ 35. Results: Out of 1.193 mothers, 22.1% (264) were above the age of 35 years, whereas 77.8 % (929) were under the age of 35 years. However, there was no significant difference between the groups regarding gender, number of previous delivery, gestational week, the rate of neonatal mortality, polyhydramnios, and oligohydramnios. A statistically significant increase in gestational diabetes, the rate of cesarean delivery and the rate of delivery meconium aspiration syndrome and occurrence of preeclampsia were found in the group for those with advanced age than the other group. Discussion: Much attention should be taken in terms of developing preeclampsia and gestational diabetes in advanced maternal age pregnancies. For a closer follow-up of pregnant women ≥ 35, establishing relevant units and referral of mother candidates at this age to experienced centers may help to decrease the higher feto-maternal risks for advanced maternal age population.