Advanced maternal age as a risk factor for adverse perinatal outcomes
This study finds a gradual increase in women's age at first pregnancy, a situation that has been associated with an increased risk of adverse maternal and postpartum events. While in the mid-1970s there were 1.7 per thousand pregnant nulliparous women between 35 and 39 years old, in 2012 this f...
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| Autores principales: | , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2025
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/45349 |
| Aporte de: |
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I10-R327-article-45349 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
maternal age risk factors perinatal mortality edad materna factores de riesgo mortalidad perinatal idade materna factores de risco mortalidade perinatal |
| spellingShingle |
maternal age risk factors perinatal mortality edad materna factores de riesgo mortalidad perinatal idade materna factores de risco mortalidade perinatal Escudero Quispe, Anyhely Yhoan Vivanco Osorio, José Luis Escudero Quispe, Anyhely Yhoan Vivanco Osorio, José Luis Escudero Quispe, Anyhely Yhoan Vivanco Osorio, José Luis Advanced maternal age as a risk factor for adverse perinatal outcomes |
| topic_facet |
maternal age risk factors perinatal mortality edad materna factores de riesgo mortalidad perinatal idade materna factores de risco mortalidade perinatal |
| author |
Escudero Quispe, Anyhely Yhoan Vivanco Osorio, José Luis Escudero Quispe, Anyhely Yhoan Vivanco Osorio, José Luis Escudero Quispe, Anyhely Yhoan Vivanco Osorio, José Luis |
| author_facet |
Escudero Quispe, Anyhely Yhoan Vivanco Osorio, José Luis Escudero Quispe, Anyhely Yhoan Vivanco Osorio, José Luis Escudero Quispe, Anyhely Yhoan Vivanco Osorio, José Luis |
| author_sort |
Escudero Quispe, Anyhely Yhoan |
| title |
Advanced maternal age as a risk factor for adverse perinatal outcomes |
| title_short |
Advanced maternal age as a risk factor for adverse perinatal outcomes |
| title_full |
Advanced maternal age as a risk factor for adverse perinatal outcomes |
| title_fullStr |
Advanced maternal age as a risk factor for adverse perinatal outcomes |
| title_full_unstemmed |
Advanced maternal age as a risk factor for adverse perinatal outcomes |
| title_sort |
advanced maternal age as a risk factor for adverse perinatal outcomes |
| description |
This study finds a gradual increase in women's age at first pregnancy, a situation that has been associated with an increased risk of adverse maternal and postpartum events. While in the mid-1970s there were 1.7 per thousand pregnant nulliparous women between 35 and 39 years old, in 2012 this figure increased to 11 per thousand pregnant women, a six-fold increase. The global prevalence of pregnant women over 35 years of age is estimated at 12.3%. Maternal and perinatal characteristics and outcomes of nulliparous women aged 40 years and older are described and compared with characteristics of nulliparous women younger than 40 years. During the time of said study, approximately 4095 nulliparous female patients who met the inclusion criteria were treated; however, a limitation was found because it was a closed population treated in a highly complex tertiary hospital, the majority with high level of schooling and middle class socioeconomic level. In conclusion, older women constitute a high-risk population whose management and follow-up would require a different approach aimed at improving maternal and postpartum outcomes. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2025 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/45349 |
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I10-R327-article-453492025-04-14T17:01:22Z Advanced maternal age as a risk factor for adverse perinatal outcomes La edad materna avanzada como factor de riesgo de resultados adversos perinatales Idade materna avançada como fator de risco para resultados perinatais adversos Escudero Quispe, Anyhely Yhoan Vivanco Osorio, José Luis Escudero Quispe, Anyhely Yhoan Vivanco Osorio, José Luis Escudero Quispe, Anyhely Yhoan Vivanco Osorio, José Luis maternal age risk factors perinatal mortality edad materna factores de riesgo mortalidad perinatal idade materna factores de risco mortalidade perinatal This study finds a gradual increase in women's age at first pregnancy, a situation that has been associated with an increased risk of adverse maternal and postpartum events. While in the mid-1970s there were 1.7 per thousand pregnant nulliparous women between 35 and 39 years old, in 2012 this figure increased to 11 per thousand pregnant women, a six-fold increase. The global prevalence of pregnant women over 35 years of age is estimated at 12.3%. Maternal and perinatal characteristics and outcomes of nulliparous women aged 40 years and older are described and compared with characteristics of nulliparous women younger than 40 years. During the time of said study, approximately 4095 nulliparous female patients who met the inclusion criteria were treated; however, a limitation was found because it was a closed population treated in a highly complex tertiary hospital, the majority with high level of schooling and middle class socioeconomic level. In conclusion, older women constitute a high-risk population whose management and follow-up would require a different approach aimed at improving maternal and postpartum outcomes. Este estudio encuentra un aumento gradual en la edad de las mujeres al primer embarazo, situación que se ha asociado con un mayor riesgo de eventos adversos maternos y posparto. Mientras que a mediados de la década de 1970 había 1,7 por cada mil mujeres nulíparas embarazadas de entre 35 y 39 años, en 2012 esta cifra aumentó a 11 por mil embarazadas, lo que supone un aumento de seis veces. La prevalencia mundial de mujeres embarazadas mayores de 35 años se estima en un 12,3%. Se describen las características y los resultados maternos y perinatales de mujeres nulíparas de 40 años o más y se comparan con las características de mujeres nulíparas menores de 40 años. Durante el tiempo de dicho estudio se atendieron un aproximado de 4095 de pacientes mujeres nulíparas que cumplían con criterios de inclusión, sin embargo, se encontró en ello una limitación por ser una población cerrada atendidas en un Hospital terciario de alta complejidad, la mayoría con alto nivel de escolarización y nivel socioeconómico de clase media. En conclusión, las mujeres mayores constituyen una población de alto riesgo cuyo manejo y seguimiento requeriría un enfoque diferente destinado a mejorar los resultados maternos y posparto. Este estudo constata um aumento gradual da idade das mulheres na primeira gravidez, situação que tem sido associada a um risco aumentado de eventos adversos maternos e pós-parto. Enquanto em meados da década de 1970 havia 1,7 por mil mulheres grávidas nulíparas entre 35 e 39 anos, em 2012 este número aumentou para 11 por mil mulheres grávidas, um aumento de seis vezes. A prevalência global de mulheres grávidas com mais de 35 anos é estimada em 12,3%. As características e resultados maternos e perinatais de mulheres nulíparas com 40 anos ou mais são descritos e comparados com características de mulheres nulíparas com menos de 40 anos. No período do referido estudo foram atendidas aproximadamente 4.095 pacientes nulíparas do sexo feminino que atendiam aos critérios de inclusão, porém foi encontrada uma limitação por se tratar de uma população fechada atendida em um hospital terciário de alta complexidade, a maioria com alta escolaridade e classe média; nível socioeconômico. Em conclusão, as mulheres idosas constituem uma população de alto risco, cuja gestão e acompanhamento exigiriam uma abordagem diferente destinada a melhorar os resultados maternos e pós-parto. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2025-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/45349 10.31053/1853.0605.v82.n1.45349 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 82 No. 1 (2025); 223-230 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 82 Núm. 1 (2025); 223-230 Revista da Faculdade de Ciências Médicas de Córdoba; v. 82 n. 1 (2025); 223-230 1853-0605 0014-6722 10.31053/1853.0605.v82.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/45349/48680 https://revistas.unc.edu.ar/index.php/med/article/view/45349/48782 Derechos de autor 2025 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |