Pregnancy outcome in primiparae of advanced maternal age

Delbaere, Ilse; Verstraelen, Hans; Goetgeluk, Sylvie; Martens, Guy; Backer, Guy De; Temmerman, Marleen

doi:10.1016/j.ejogrb.2006.10.030

Cited by 186 publications

(184 citation statements)

References 27 publications

Supporting

Mentioning

157

Contrasting

Unclassified

Order By: Relevance

“…Extremes of reproductive age 13,14 , women without a partner 14 , low educational level and low pregestational BMI 1,15,16 were findings shown to be risk factors for low birth weight in this population, and these findings are in agreement with data reported by various other investigators. On the other hand, the present study also showed obesity to be a protective factor, which may reflect the fact that obese women have a greater risk of developing hyperglycemic states or diabetes (gestational or type II), commonly associated with a greater gain in fetal weight.…”

Section: Discussionsupporting

confidence: 83%

Factors associated with low birth weight in a historical series of deliveries in Campinas, Brazil

Coutinho¹,

Cecatti²,

Surita³

et al. 2009

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

SummaryObjective. To identify the risk factors associated with low birth weight (<2500 grams). MethOds. Unmatched case-control study performed in a tertiary maternity hospital in Campinas, Brazil, involving 43,499 liveborn infants delivered in the institution between 1986 and 2004. Analysis of the database containing information on deliveries of women who gave birth to infants with low (6,477 cases) and normal (37,467) birth weight were performed. Factors associated with low birth weight were identified according to the odds ratio (OR) and 95% confidence interval (95%CI) in the bivariate analysis and according to the adjusted OR in the multivariate analysis. Sociodemographic characteristics, reproductive history, previous morbidity and factors related to current prenatal care were studied. Results. Extremes of reproductive age, poor education, low maternal weight, smoking beyond the fourth month of pregnancy, previous cesarean section, interdelivery interval ≤24 months and ≥37 months, maternal history of hypertension, cardiopathy and premature delivery, few (≤5) prenatal visits and beginning prenatal care late in pregnancy (after the 3rd month), premature rupture of membranes, increased blood pressure, infectious diseases and hemorrhages during current pregnancy were all associated with low birth weight. Maternal obesity and being a primipara were found to be protective factors. cOnclusiOn. These results confirm the findings of previous studies. The detection and prenatal management of modifiable factors, counseling, pre-conception intervention, adequate prenatal care and the implementation of primary and secondary prevention of maternal morbidity should be a target for all obstetrician as a potential source for reducing the incidence of low birth weight.

show abstract

Section: Discussionsupporting

confidence: 83%

Factors associated with low birth weight in a historical series of deliveries in Campinas, Brazil

Coutinho¹,

Cecatti²,

Surita³

et al. 2009

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

show abstract

“…However, it could not be attributed to any specific cause such as aneuploidy, as karyotyping was sent only for few women. Many of the studies have found a higher rate of aneuploidy among miscarriages in women with advanced maternal age [7][8][9].…”

Section: Discussionmentioning

confidence: 99%

Pregnancy in Women Aged 35 Years and Above: A Prospective Observational Study

Pawde

Kulkarni

Unni

2014

J Obstet Gynecol India

View full text Add to dashboard Cite

Pregnancy is affected by maternal age from conception till delivery. Various studies have been conducted globally to study this effect; few in developing countries. Maternal age is increasing in developing countries as well, so we have conducted this study. Method This was a prospective observational study consisting of 1,263 women booked at Jehangir hospital during a period of 2 years, fulfilling inclusion criteria and consenting for the study. They were divided into two groups; women aged 35 years and above and women less than 35 years of age. Pregnancy outcomes were studied in terms of antepartum, intrapartum and postpartum complications. Neonatal outcomes were studied in terms of birth weight and NICU admissions. Data was analyzed statistically using statistical package for social sciences version 17, by applying Chi square test and Fisher exact test. A p value below 0.05 was considered significant. Results Women aged 35 years and above constituted 9.63 % of the total study population. Most were multigravidae. Rate of assisted conception was significantly higher among women aged 35 years and above; early pregnancy loss was also high in this group. Pre-eclampsia and abruption were significantly higher among them. Neonatal outcomes were comparable. Conclusion Women with advanced maternal age are at higher risk of complications from conception till delivery and should be provided close supervision for better pregnancy outcome.

show abstract

“…Ma már számos közlemény [8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50] : 1,32). A császármetszés gyakorisága először szülőknél és többedszer szülőknél egyaránt lényegesen magasabb a 30 éves korosztályhoz képest.…”

Section: Növekvő Veszélyek Az Anya éLetkorának Előrehaladásávalunclassified

Magzati és anyai betegségek kockázata 40 évesnél idősebb édesanyák esetén

et al. 2015

View full text Add to dashboard Cite

Az elmúlt néhány évtizedben a gyermeket vállaló nők életkora emelkedő trendet mutat. Számos tanulmány mutatott rá az anyai életkor emelkedésének és a terhesség kimenetelének összefüggésére a vetélés, a halvaszületés, a praeeclampsia, a terhességi hipertenzió, a gestatiós diabetes mellitus, a koraszülés, a kis vagy nagy gesztációs korú újszülött, valamint az elektív vagy sürgősségi császármetszés kapcsán. E vizsgálatok egymásnak ellentmondó megállapításokról számoltak be. A jelenlegi közlemény célja az, hogy összefoglalja az előrehaladott anyai életkor és a terhesség kimenetele közti, bizonyítékokon alapuló információkat. Orv. Hetil., 2015Hetil., , 156(49), 1987Hetil., -1990. Kulcsszavak: előrehaladott anyai életkor, magzati-anyai szövődmények, terhesség kimenetele Risk of maternal and fetal disease among women older than 40 yearsA rising trend in advanced maternal age has been observed over the last few decades. Several studies have assessed the association between advanced maternal age and adverse pregnancy outcome, including miscarriage, stillbirth, preeclampsia, gestational hypertension, gestational diabetes mellitus, preterm birth, delivery of a small-or large-forgestational-age neonates and elective or emergency Cesarean section. These studies reported contradictory fi ndings. The aim of the present paper is to summarize the evidence-based information regarding advanced maternal age and pregnancy outcomes. Keywords: advanced maternal age, fetal, maternal complications, pregnancy outcomeVanya, M., Szili, K., Devosa, I., Bártfai, Gy. [Risk of maternal and fetal disease among women older than 40 years]. Orv. Hetil., 2015, 156(49), 1987-1990. (Beérkezett: 2015 elfogadva: 2015. Rövidítések CS = császármetszés; GDM = gestatiós diabetes mellitus; LGA = large for gestational age; SGA = small for gestational age Napjainkban az Európai Unió számos országában elfogadott trend, hogy egyre több nő vállal gyermeket 35, sőt 40 éves kor felett [1,2,3,4,5]. Számos tanulmány eredményei arra engednek következtetni, hogy az előre-haladott anyai életkor és a terhesség kimenetele -beleértve a vetélés, halvaszületés, praeeclampsia, terhességi hipertenzió, terhességi cukorbetegség (GDM), koraszü-lés, kis súlyú (SGA), valamint a nagy súlyú (LGA) újszü-lött és elektív vagy sürgősségi császármetszés -között szoros korreláció van. Egyes tanulmányok eredményei azonban ellentmondásosak [6,7,8,9,10,11,12,13,14,15]. A jelen összefoglalónk célja, hogy áttekintsük az anyai életkor és az anyai, valamint magzati komplikációk összefüggéseit.

show abstract

Pregnancy outcome in primiparae of advanced maternal age

Abstract: Maternal age is an important and independent risk factor for adverse pregnancy outcome.

Cited by 186 publications

References 27 publications

Factors associated with low birth weight in a historical series of deliveries in Campinas, Brazil

Factors associated with low birth weight in a historical series of deliveries in Campinas, Brazil

Pregnancy in Women Aged 35 Years and Above: A Prospective Observational Study

Magzati és anyai betegségek kockázata 40 évesnél idősebb édesanyák esetén

Contact Info

Product

Resources

About