[Pregnancies at advanced maternal age].

Rev Med Suisse

Service d'obstétrique, Département de la femme, l'enfant et l'adolescent, Hôpitaux universitaires de Genève, 1211 Genève 14.

Published: October 2024

AI Article Synopsis

  • The concept of advanced maternal age (AMA) often refers to women aged 35 and older, with the global standard set at 40 years for monitoring and delivery timelines.
  • Mothers with AMA are more likely to have health issues like type 2 diabetes and hypertension, which increases the chances of complications during pregnancy.
  • Risks associated with AMA include higher rates of miscarriage, gestational diabetes, caesarean sections, and potential fetal issues like genetic anomalies and prematurity.

Article Abstract

The definition of advanced maternal age (AMA) is debated, with an increasing risk of complications from the age of 35, but a threshold of 40 years old is adopted internationally to adjust surveillance and set the term of delivery between 39 and 40 weeks. Patients with AMA have more comorbidities, such as type 2 diabetes and chronic arterial hypertension. They are at greater risk of miscarriage, -gestational diabetes, hypertensive, thrombotic and psychiatric complications, as well as caesarean sections, placenta previa and placental abruption. Additionally, fetal and neonatal complications can occur, including genetic anomalies, fetal growth issues, stillbirths, and prematurity. AMA is a non--modifiable risk factor that must be taken into account to ensure a safe peri-natal period.

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http://dx.doi.org/10.53738/REVMED.2024.20.891.1874DOI Listing

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