Document Detail

Increased risk in the elderly parturient.
MedLine Citation:
PMID:  17353677     Owner:  NLM     Status:  MEDLINE    
PURPOSE OF REVIEW: The steady increase in age in primiparous and multiparous women raises questions concerning increased obstetric risk and outcome in such pregnancies. This review highlights the effects of maternal age on obstetric and perinatal outcome. RECENT FINDINGS: Complications have been associated with increasing maternal age, including abnormal weight gain, obesity, gestational diabetes, chronic and pregnancy-induced hypertension, antepartum haemorrhage, placenta praevia, multiple gestation, prelabour rupture of membranes, and preterm labour. Intrapartum complications of malpresentation, fetopelvic disproportion, abnormal labour, increased use of oxytocin in labour, caesarean section, instrumental delivery, sphincter rupture, and postpartum haemorrhage are more frequent in older women. Advanced maternal age is associated with a higher risk of stillbirth throughout gestation, and the peak risk period is 37-41 weeks. Perinatal outcomes differ with maternal age concerning gestational age, birth weight, prematurity, low birth weight, incidence of small-for-gestational-age infants, fetal distress, and perinatal morbidity and mortality. The increased risk cannot be explained only by intercurrent illness or pregnancy complications. SUMMARY: Increasing maternal age is independently associated with specific adverse outcomes. Increasing age is a continuum rather than threshold effect. More information about obstetric consequences of delayed childbearing is needed both for obstetricians and fertile women.
Sven Montan
Related Documents :
12137307 - Perinatal outcome of pregnancies in women aged 40 and over.
11312627 - Reactive oxygen species and preterm premature rupture of membranes-a review.
8728087 - Pregnancy after the fontan procedure for tricuspid atresia. a case report.
17636237 - Labor (term and preterm) is associated with changes in the placental mrna expression of...
10431697 - Unrearable litters and prenatal reduction of litter size in the common marmoset (callit...
14616177 - Fetus at risk: prevalence of alcohol consumption during pregnancy estimated with a simp...
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in obstetrics & gynecology     Volume:  19     ISSN:  1040-872X     ISO Abbreviation:  Curr. Opin. Obstet. Gynecol.     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-03-13     Completed Date:  2007-05-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9007264     Medline TA:  Curr Opin Obstet Gynecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  110-2     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Lund University, Malmö University Hospital, Malmö, Sweden.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Maternal Age*
Pregnancy Complications*
Pregnancy Outcome*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Uterine artery Doppler in the prediction of adverse pregnancy outcome.
Next Document:  Reproductive outcomes after in-vitro fertilization.