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2014, Number 3

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Evid Med Invest Salud 2014; 7 (3)

Maternal advanced age and obstetric morbidity

Baranda-Nájera N, Patiño-Rodríguez DM, Ramírez-Montiel ML, Rosales-Lucio J, Martínez-Zúñiga ML, Prado-Alcázar JJ, Contreras-Carreto NA

Language: Spanish
References: 19
Page: 110-113
PDF size: 299.42 Kb.


ABSTRACT

Introduction: The aim of maternal-fetal medicine (MFM) is to make every pregnancy and birth culminate in a healthy binomial. At present time many women decide when to become pregnant, increasingly delaying the time to achieve their personal goals, which increases not only the age at which they become pregnant, but also, secondarily, the risk of disease. Advanced maternal age (AMA) is defined as pregnant women ≥ 35 years old. Objective: To assess the obstetric outcome of pregnant patients with AMA at the Hospital de la Mujer, Mexico City. Material and methods: Descriptive and retrospective analysis with 113 AMA patients from January 1st, 2012 to January 31st, 2013 was conducted. Results: A sample of 113 patients was obtained. The mean age was 37.58 ± 2.59 years, range 35-45 years. The main comorbidities in the second trimester were; gestational diabetes (41.37%), premature rupture of membranes (37.96%) and gestational hypertension (20.61%), meanwhile in the third trimester comorbidities were; placenta previa (30.0%), severe oligohydramnios (50.0%), severe preeclampsia (10.0%) and deep venous thrombosis (10.0%). Conclusions: AMA patients express higher incidence of cesarean, twice higher risk of prematurity, and about 7% of increased risk for gestational diabetes compared with the general population.


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