Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 8 , ISSUE 2 ( April-June, 2014 ) > List of Articles

RESEARCH ARTICLE

Childbearing after 40 Years: A Challenge of the Modern Obstetrics

Florin Stamatian, Daniel Muresan, Ioana Rotar, Mariana Tanc, Paul Cotutiu, Cristina Giurgiu

Keywords : Childbearing,Elder women,Vaginal birth,Cesarean section

Citation Information : Stamatian F, Muresan D, Rotar I, Tanc M, Cotutiu P, Giurgiu C. Childbearing after 40 Years: A Challenge of the Modern Obstetrics. Donald School J Ultrasound Obstet Gynecol 2014; 8 (2):144-148.

DOI: 10.5005/jp-journals-10009-1349

License: CC BY-NC 4.0

Published Online: 01-06-2014

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Aim

Age at delivery has increased in the past decades, leading to a continuous growth of the number of women planning a pregnancy after the age of forty. Because delivering after this age is associated with an increased rate of maternal complications, the objective of this study was to analyze the delivery related issues in women ≥40 years of age.

Materials and methods

This was a retrospective study conducted in the 1st Clinic of Obstetrics and Gynecology, Cluj-Napoca in a 3-year period. One hundred and forty-two patients ≥40 years of age that delivered between 2010 and 2012 were included in the analysis.

Results

The frequency of deliveries after the age of 40 was 2.42% of all the deliveries. Eighty percent of nulliparous and 51.72% of multiparous women delivered by cesarean section. A significantly higher percentage of primiparous women delivered by cesarean section compared to secundiparous women (p = 0.0007). Fetal weight was significantly higher in multiparous than in primiparous women in the CS group (p = 0.01). No differences were observed between the Apgar scores according to the delivery mode or parity in the study group.

Conclusion

Delivery after 40 years of age is associated with an increased number of obstetrical interventions.

Abbreviations

CS: Cesarean section; 1p: Primiparous; 2p: Secundiparous; 3p: Tertiparous; >1p: Multiparous.

How to cite this article

Rotar I, Muresan D, Tanc M, Cotutiu P, Giurgiu C, Stamatian F. Childbearing after 40 Years: A Challenge of the Modern Obstetrics. Donald School J Ultrasound Obstet Gynecol 2014;8(2):144-148.


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  1. Mean age of mother, 1970-2000. Natl Vital Stat Rep 2002;51:1-13.
  2. Outcome of singleton pregnancy in women ≥45 years old: a retrospective cohort study. J Matern Fetal Neonatal Med 2012;25:2190-2193.
  3. google.ro/#q=romania+birth+after+40+years+old.Accessed on 6/11/2013‥
  4. ncbi.nlm.nih.gov/pubmed/?term=romania+birth+after+40+years+old. Accessed on 6/11/2013‥
  5. Pregnancy outcome in primiparae of advanced maternal age. Eur J Obstet Gynecol Reprod Biol 2007;135:41-46.
  6. Delayed childbearing and risk of adverse perinatal outcome. A populationbased study. JAMA 1992;268:886-890.
  7. Clinical aspects of pregnancy after the age of 35 years: a review of the literature. Hum Reprod Update 1998;4:185-194.
  8. bbc.co.uk/2/hi/health/8152002.stm. Accessed on 6/11/2013.
  9. bbc.co.uk/2/hi/health/6220523.stm. Accessed on 6/11/2013.
  10. bbc.co.uk/2/hi/health/8152002.stm. Accessed on 6/11/2013.
  11. Childbearing beyond age 40: pregnancy outcome in 24,032 cases. Obstet Gynecol 1999;93:9-14.
  12. Advanced maternal age and adverse pregnancy outcome: evidence from a large contemporary cohort. PLoS One 2013;8:e56583.
  13. Evoluţia natalităţii şi fertilităţii in România. 2012. Available at: http://www.insse.ro/cms/files/publicatii/Evolutia%20natalitatii%20si%20fertilitatii%20in%20 Romania_n.pdf. Accessed on 6/11/2013‥
  14. Primiparity at very advanced maternal age (≥45 years). Fertil Steril 2011 Jun 30;95(8):2548-2551.
  15. Hypertension and kidney disease in pregnancy. In: Brenner BM, editor. Brenner and Rector's The Kidney. 8th ed. Philadelphia, PA: WB Saunders; 2007.
  16. Elective cesarean delivery on maternal request. JAMA 2013 8;309:1930-1936.
  17. Perinatal outcome in grand and great-grand multiparity: Effects of parity on obstetric risk factors. Am J Obstet Gynecol 1999;181:669-674.
  18. Placenta previa: A 22-year analysis. Am J Obstet Gynecol 1999;180:1432-1437.
  19. FASTER Consortium. Impact of maternal age on obstetric outcome. Obstet Gynecol 2005;105:983-990.
  20. On an anatomical basis for the increase in birth weight in second and subsequent born children. Placenta 2003;24:348-353.
  21. Pregnancy outcome at maternal age 40 and older. Taiwan J Obstet Gynecol 2008;47:318-321.
  22. A review of the Apgar score indicated that contextualization was required within the contemporary perinatal and neonatal care framework in different settings. J Clin Epidemiol 2005;58:121-129.
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