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Int J Reprod Med. 2013;2013:287519. doi: 10.1155/2013/287519. Epub 2012 Dec 29.

Pregnancy Outcome of Multiparous Women Aged over 40 Years.

Author information

1
Department of Obstetrics and Gynecology, Bezmialem Vakif University, 34093 Istanbul, Turkey ; Bezmialem Vakif University, Adnan Menderes Bul. Vatan Cad., 34093 Istanbul, Turkey.
2
Department of Obstetrics and Gynecology, Bezmialem Vakif University, 34093 Istanbul, Turkey.
3
Department of Obstetrics and Gynecology, Haseki Education and Research Hospital, Istanbul, Turkey.

Abstract

OBJECTIVE:

The aim of this study was to evaluate the effect of maternal age on prenatal and obstetric outcome in multiparaous women.

MATERIALS AND METHODS:

A retrospective case control study was conducted, including women aged 40 years and over (study group, n = 97) who delivered at 20 week's gestation or beyond and women aged 20-29 years (control group, n = 97).

RESULTS:

The mean age of women in the study group was 41.2 ± 1.7 years versus 25.4 ± 2.3 years in the control group. Advanced maternal age was associated with a significantly higher rate of hypertension, diabetes mellitus, fetal complication, and 5-minute Apgar scores <7 (P < 0.05). Caeserean section rate, incidence of placental abruption, preterm delivery, and neonatal intensive care unit admission were more common in the older group, but the differences were not statistically significant.

CONCLUSIONS:

Advanced maternal age is related to maternal and neonatal complications.

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