1. Obstetric and perinatal outcomes in women ≥40years of age: Associations with fetal growth disorders.
- Author
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Zapata-Masias Y, Marqueta B, Gómez Roig MD, and Gonzalez-Bosquet E
- Subjects
- Adult, Birth Weight, Female, Humans, Pregnancy, Pregnancy in Diabetics epidemiology, Premature Birth epidemiology, Prospective Studies, Cesarean Section statistics & numerical data, Fetal Growth Retardation epidemiology, Fetal Macrosomia epidemiology, Maternal Age, Pregnancy Complications epidemiology, Pregnancy Outcome epidemiology
- Abstract
Background: 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)., Methods: 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], and <35 [n=7893] years)., Results: 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 the <35years 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 the <35-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 the <35-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 the <35-year age groups; p=0.03)., Conclusion: Maternal age ≥40years was associated with poorer obstetric and perinatal outcomes and increased the risks of cesarean section, intrauterine growth retardation, and fetal macrosomia., (Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.)
- Published
- 2016
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