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Obstetric Outcomes in Advanced Maternal Age among Women at King Abdulaziz University h.spital

Open Journal of Obstetrics and Gynecology 2023年第1期13卷 108-120页

作者： Rawan A. Gari Gh.day M. alrefaei Sh.th. A. alsuwaida Zah.a M. alalwan Zah.aa h. aljesh. amenah h. al jumah Department of Obstetrics and Gynecology King Abdulaziz University Hospital Jeddah Saudi Arabia Faculty of medicine King Abdulaziz University Jeddah Saudi Arabia

Background: Advanced maternal age, over 35 years, is a well-known risk factor for poor pregnancy outcomes. It is commonly associated with.various pregnancy complications, such.as spontaneous miscarriage, preeclampsia/ toxemia, gestational diabetes mellitus, preterm labor, stillbirth. ch.omosomal abnormalities, and cesarean delivery. Objectives: Th.s study assessed obstetric and neonatal complications associated with.advanced maternal age. Meth.ds: We reviewed th. medical records of 199 pregnant women over 35 years old at King Abdulaziz University h.spital in Jeddah. Saudi Arabia, from January to June 2022. We gath.red data on age, nationality, number of antenatal visits, results of ultrasound scans for dating and viability, nuch.l translucency and anatomy surveys, medications and multivitamins taken during pregnancy, smoking status, pregnancy, and fetal complications, and mode of delivery. Results: Th. prevalence of obstetric complications was 71.4% (preeclampsia/toxemia, 4.5%;antepartum h.morrh.ge, 4%;postpartum h.morrh.ge, 1%;and gestational diabetes, 23.1%). Th. most frequent complication was preterm labor between 34 and 36 weeks (48%), and only 12.6% of all deliveries were associated with.fetal and neonatal complications such.as congenital anomalies and neonatal jaundice. Th. prevalence of anemia during pregnancy was 10.1%, 21.1%, and 28.6% in th. first, second, and th.rd trimesters, respectively, and pregnancies complicated with.antepartum or postpartum h.morrh.ge were associated with.h.gh.r rates of anemia in th. second trimester. A significant relationsh.p was found between mean maternal age (38.84 ± 2.75 years) and th. development of maternal complications (p h.neonatal complications were much.more likely to be born to moth.rs with.a h.story of antepartum h.morrh.ge and anemia in th. second trimester. Conclusion: Our findings confirm th.t pregnancy at an advanced maternal age is associated with.increased overall maternal complications. T

关键词： Advanced Maternal Age Preeclampsia/Toxemia Pregnancy Outcomes Com-plications KAUh Jeddah

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