Abstract
Purpose: To analyze whether ≥ 40-year-old women have an increased risk of intrapartum caesarean delivery and perinatal complications compared to younger mothers. Materials and Methods: Retrospective data was collected on nulliparous women with no contraindications to vaginal delivery during a six-month period (n = 175). Results: ≥ 40-year-old pregnant women (n = 54) have a higher rate of intrapartum caesarean delivery, elective onset of labour, and gestational diabetes mellitus (GDM), compared to younger women. Newborns to younger mothers were heavier than those born to older mothers (p = 0.037), despite the fact that gestational age at delivery was similar for both groups. No statistically significant differences were seen regarding the incidence of hypertensive and growing disorders, instrumental delivery rate, dystocia, postpartum maternal complications, low Apgar scores at one and five minutes and arterial blood cord pH ≤ 7.10. Conclusions: ≥ 40-year-old women at delivery have an increased risk of intrapartum caesarean rate than younger women.
Highlights
Maternal age is a main perinatal indicator [1]
Most authors suggest that maternal age is an independent risk factor for pregnancy and perinatal complications, such as gestational diabetes mellitus (GDM), hypertensive disorders, higher caesarean and instrumental delivery rates, as well as growth retardation and prematurity
The present authors aimed to analyze whether Advanced maternal age (AMA) pregnant women have an increased risk of intrapartum caesarean delivery and perinatal complications compared to younger mothers
Summary
Maternal age is a main perinatal indicator [1]. Advanced maternal age (AMA) has traditionally been referred as ≥ 35-year-old pregnant women or older at the estimated date of delivery [1–4]. Most authors suggest that maternal age is an independent risk factor for pregnancy and perinatal complications, such as gestational diabetes mellitus (GDM), hypertensive disorders, higher caesarean and instrumental delivery rates, as well as growth retardation and prematurity. The present authors aimed to analyze whether AMA pregnant women (considering ≥ 40-yearsold patients) have an increased risk of intrapartum caesarean delivery and perinatal complications compared to younger mothers. Inclusion criteria were singleton pregnancies in vertex presentation which were alive and delivered ≥ 34+0 weeks of gestation. Previous uterine surgery, breech presentation, fetal death, fetal malformations, and any contraindication to vaginal delivery were exclusion criteria.
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