Abstract
Over recent decades, there has been a significant change in population dynamics and perceptions of reproductive age. Improved educational and professional opportunities for women, together with social and cultural changes, medical progress and expanded access to effective contraception are factors that have contributed to delayed childbearing, with advanced maternal age being associated with poorer maternal and fetal outcomes. In a contemporary society, decisions regarding the timing of conception should be informed, with awareness and acceptance of the risks involved. The objective of this study is to evaluate the medical and social characteristics of pregnancies and childbirths in women of advanced maternal age and the association of these characteristics with age. A selective cross-sectional descriptive observational study (n=528) was conducted, examining the reciprocal relationship between medical-social variables associated with advanced reproductive age. Data were analyzed and summarized using descriptive statistics and inferential statistics (Chi-square), with significance established for the 95% confidence interval. Statistically significant differences were identified among several medical and social variables associated with advanced maternal age, such as preexisting chronic diseases, parity, and awareness on the risks related to advanced maternal age. The results of the study can serve as a foundation for future research aimed at identifying effective interventions to ensure risk management, prevent pregnancy and childbirth complications, and improve maternal-fetal outcomes in this category of women.
Published Version
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