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[Outcomes in late-age pregnancies]
Angela Andréia França Gravena1, Arethuza Sass, Sonia Silva Marcon
1Universidade Estadual de Maringá, PR, Brasil. angelafranca_@hotmail.com
Revista Da Escola De Enfermagem Da U S P
|March 24, 2012
Summary
Pregnant women aged 35 and older face increased risks for adverse perinatal outcomes, including cesarean deliveries and lower Apgar scores. This highlights the need for specialized guidance for later pregnancies.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Maternal Health
Background:
- Advanced maternal age (35+ years) is a growing demographic trend.
- Understanding perinatal risks associated with later pregnancies is crucial for maternal and infant well-being.
Purpose of the Study:
- To compare perinatal outcomes between women aged 35 years or older and those aged 20 to 34 years.
- To identify specific adverse outcomes associated with advanced maternal age.
Main Methods:
- Retrospective review of obstetric records for 1255 mothers.
- Analysis of variables including delivery type, newborn weight, Apgar scores, and stillbirths.
- Logistic regression to assess associations between maternal age and outcomes.
Main Results:
- Advanced maternal age was significantly linked to higher rates of cesarean deliveries (OR 1.23).
- Women aged 35+ had a significantly increased risk of 5-minute Apgar scores below 7 (OR 5.78).
Conclusions:
- Pregnancy in women aged 35 and older is associated with increased risks of adverse perinatal outcomes.
- These findings underscore the importance of counseling women considering delayed childbearing.
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