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[Being a Mother After 35 Years: Will it be Different?]

Bárbara Marques1, Francisca Palha1, Edgar Moreira1

  • 1Serviço de Neonatologia. Departamento de Pediatria. Hospital Universitário de Santa Maria. Centro Académico de Medicina de Lisboa. Lisboa. Portugal.

Acta Medica Portuguesa
|October 14, 2017
PubMed
Summary

Pregnancy after 35 (advanced maternal age) showed fewer complications than expected, with no impact on neonatal outcomes in this study. However, women under 35 perceived pregnancy risk as higher.

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Area of Science:

  • Obstetrics and Gynecology
  • Reproductive Medicine
  • Maternal-Fetal Medicine

Background:

  • Advanced maternal age (≥ 35 years) is linked to reduced fertility and increased pregnancy/neonatal complications.
  • This study investigates maternal and fetal outcomes and risk perception in pregnancies after 35.

Purpose of the Study:

  • To analyze maternal and fetal consequences of advanced maternal age.
  • To assess maternal perception of pregnancy risk after 35.

Main Methods:

  • Retrospective comparative study of 153 women aged ≥ 35 and 153 women aged < 35.
  • Statistical analysis included Chi-square and Fisher's exact tests (p < 0.05 significance).

Main Results:

  • Advanced maternal age group had more primiparous women, previous miscarriages, assisted reproductive technology use, amniocentesis, and dystocia (including C-sections).
Keywords:
Infant, NewbornMaternal AgePregnancy ComplicationsPregnancy Outcome

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  • No significant association found for maternal complications, birth defects, neonatal resuscitation, or prematurity.
  • Women under 35 perceived pregnancy risk as higher.
  • Conclusions:

    • Term deliveries in advanced maternal age pregnancies often occur without complications.
    • Neonatal outcomes were not significantly influenced by advanced maternal age in this cohort.
    • Future definitions of advanced maternal age may shift to 40 years.