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Advanced maternal age: the mature gravida
American Journal of Obstetrics and Gynecology
|May 1, 1985
Summary
Pregnancies in women aged 35 and older in the 1980s showed no significant increase in risks compared to younger women. Modern tertiary care centers provided comparable outcomes for advanced maternal age pregnancies.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Advanced maternal age (35 years and older) is often associated with increased pregnancy risks.
- Historical data suggests potential complications for older mothers, necessitating further investigation.
Purpose of the Study:
- To evaluate the risks associated with advanced maternal age.
- To compare pregnancy, labor, delivery, and neonatal outcomes between older and younger parturients.
Main Methods:
- A 3-year retrospective study (1981-1983) at Women's Hospital of Long Beach.
- Inclusion of 1023 women aged 35+ (advanced maternal age group) and 5343 women aged 20-25 (control group).
- Analysis of pregnancy complications, labor complications, delivery factors, and neonatal outcomes.
Main Results:
- Few statistically significant differences were observed between the advanced maternal age group and the younger control group.
- No substantial increase in adverse outcomes was detected for pregnancies in women aged 35 and older.
Conclusions:
- Pregnancies in women of advanced maternal age delivered in a tertiary care center during the 1980s did not present a significantly higher risk.
- The findings suggest that advanced maternal age alone may not be a major risk factor in well-managed obstetric settings.