Donald School Journal of Ultrasound in Obstetrics and Gynecology

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


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: 01-03-2015

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



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.


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.


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


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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