Obstetrical management of the older gravida

Women's Health

Volumn 6, Issue 3, 2010, Pages 463-468

  Franz, Maximilian B ^a   Husslein, Peter W ^a  

^a MEDICAL UNIVERSITY OF VIENNA   (Austria)

Author keywords

Advanced maternal age; Cesarean section; Increased risk; Older parturient; Stillbirth

Indexed keywords

CESAREAN SECTION; CHROMOSOME ABERRATION; DELIVERY; DIABETES MELLITUS; FERTILITY; FIRST TRIMESTER PREGNANCY; GESTATION PERIOD; HYPERTENSION; LOW BIRTH WEIGHT; MALPRESENTATION; MATERNAL AGE; NULLIPARA; OBESITY; OBSTETRIC CARE; PERINATAL MORBIDITY; PERINATAL MORTALITY; PREECLAMPSIA; PREGNANCY; PREMATURE LABOR; PRIMIPARA; REVIEW; RISK FACTOR; SPONTANEOUS ABORTION; STILLBIRTH; UTERUS MYOMA;

ADULT; FEMALE; HUMANS; MATERNAL AGE; OBSTETRIC LABOR COMPLICATIONS; PREGNANCY; PREGNANCY COMPLICATIONS; PREGNANCY OUTCOME; PREGNANCY, HIGH-RISK; RISK;

EID: 77952230316     PISSN: 17455057     EISSN: 17455065     Source Type: Journal    
DOI: 10.2217/whe.10.26     Document Type: Review

References (24)

1. Hammaberg K, Clarke VE: Reasons for delaying childbearing - a survey of women aged over 35 years seeking asisted reproductive technology. Aust. Fam. Physician 34 (3), 187-188 (2005).
2. Pötzsch O, Conradi-Freundschuh A: Geburten in Deutschland (Births in Germany). Statistisches Bundesamt, Wiesbaden, Germany (2007).
3. Montan S: Increased risk in the elderly parturient. Curr. Opin. Obstet. Gynecol. 19, 110-112 (2007)
4. Tough S, Benzies K, Newborn-Cook C et al.: What do women know about the risks of delaying child bearing? Can. J. Public Health 97, 330-334 (2006).
5. Heffner LJ: Advanced maternal age - how old is too old? N. Engl. J. Med. 351, 1927-1929 (2004).
6. Hoo EB, Cross PK, Schreinemachers DM: Chromosomal abnormality rates at amniocentesis and in life born infants. JAMA 249, 2034-2038 (1983).
7. Kaaja R: Preditors and risk factors of pre-eclampsia. Minerva Ginecol. 60 (5), 421-429 (2008).
8. Salihu HM, Wilson RE, Alio AP, Kirby RS: Advanced maternal age and risk of antepartum and intrapartum stillbirth. J. Obstet. Gynecol. 34 (5), 843-850 (2008).
9. Ziadeh S, Yahaya A: Pergnancy outcome at age 40 and older. Arch. Gynecol. Obstet. 265, 30-33 (2001).
10. Jaccobsen B, Ladfors L, Milsom I: Advanced maternal age an adverse perinatal outcome. Obstet. Gynecol. 104 (4), 727-733 (2004).
11. Seoud MA, Nassar AH, Usta IM, Melhem Z, Kazma A, Khalil AM: Impact of advanced maternal age on pregnancy outcome. Am. J. Perinatol. 19 (1), 1-8 (2002).
12. Robinson HE, O'Connel CM, Joseph KS, McLeod NL: Maternal outcomes in pregnancies complicated by obesity. Obestet. Gynecol. 106, 1357-1364 (2005).
13. The HAPO Study Coperative Research Group: Hyperglycemia and adverse pregnancy outcomes. N. Engl. J. Med. 358 (19), 1991-2002 (2008). •• The most important work regarding gestational diabetes of recent years.
14. Berkowitz GS, Skovron ML, lapinski RH, Berkowitz RL: Delayed childbearing and the outcome of pregnancy. N. Engl. J. Med. 322 (10), 693-694 (1990).
15. Gilbert WM, Nesbitt TS, Danielsen B: Childbearing beyond age 40: pregnancy outcome in 24, 032 cases. Obstet. Gynecol. 93 (1), 9-14 (1999).
16. Newburn-Cook CV, Onyskiw JE: Is older maternal age a risk factor for preterm birth and fetal growth restriction? A systematic review. Health Care Woman Int. 26 (9), 852-875 (2005).
17. Anath CV, Wilcox AJ, Sacvitz DA, Bowes WA Jr, Luther ER: Effect of maternal age and parity on the risk of uteroplacental bleeding disorders in pregnancy Obstet. Gynecol. 88 (4 Part 1), 511-516 (1996).
18. Ecker JL, Chen KT, Chen AP, Riley LE, Libermann ES: Increased risk of cesarean delivery with advancing maternal age: indications and associated factors in nulliparous women. Am. J. Obstet. Gynecol. 185, 883-887 (2001).
19. Smith GCS, Cordeauy Y, White IR et al.: The effect of delaying childbearing on primary Cesarean section rates. PLoS Med. 5 (7), E144 (2008).
20. Patel RR, Peters TJ, Murphy DJ; ALSPAC Study Team: Prenatal risk factors for Caesarean section. Analyses of the ALSPAC cohort of 12, 944 women in England. Int. J. Epidemiol. 34, 353-367 (2005).
21. Lin HC, Sheen TC, Tang CH, Kao S: Association between maternal age and the likelihood of a Cesarean section: a population - based multivariate logistic regression analysis. Acta Obstet. Gynecol. Scand. 83, 1178-1183 (2004).
22. Reddy UM, Ko CW, Willinger M: Maternal age and the risk of stillbirth throughout pregnancy in the United States. Am. J. Obstet. Gynecol. 195, 764-770 (2006). • Different risks at advanced maternal age are presented in this article.
23. Smith GCS, Fretts RC: Stillbirth. Lancet 370, 1715-1725 (2007). •• Very interesting review on stillbirth.
24. Bahtiyar MO, Funai EF, Rosenberg V et al.: Stillbirth at term in women of advanced maternal age in the United States: when could the antenatal testing be initiated? Am. J. Perinatol. 25 (5), 301-304 (2008).