The effects of a pregnancy and childbirth program for pregnant women of advanced maternal age

2018 ◽  
Vol 9 (9) ◽  
pp. 737
Author(s):  
Hye Jin Kim ◽  
Tae Kyung Kim ◽  
Jung Hee Song
Keyword(s):  
Pregnant Women ◽  
Maternal Age ◽  
Advanced Maternal Age ◽  
Pregnancy And Childbirth

Advanced Maternal Age and Adverse Maternal and Neonatal Outcomes in Pregnant Women

2020 ◽  
Vol 16 ◽  
Author(s):  
Reza Omani-Samani ◽  
Saman Maroufizadeh ◽  
Nafise Saedi ◽  
Nasim Shokouhi ◽  
Arezoo Esmailzadeh ◽  
...  
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Maternal Age ◽  
Unwanted Pregnancy ◽  
Advanced Maternal Age ◽  
Neonatal Outcomes ◽  
Maternal And Neonatal Outcomes

Background: Advanced maternal age is an important predictor for maternal and neonatal outcomes such as maternal mortality, low birth weight, stillbirth, preterm birth, cesarean section and preeclampsia. Objective: To determine the association of advanced maternal age and adverse maternal and neonatal outcomes in Iranian pregnant women. Methods: In this hospital-based cross-sectional study, 5117 pregnant women from 103 hospitals in Tehran, Iran, were participated in the study in 2015. The required data were gathered from hospitals which equipped to the department of obstetrics and gynecology. Advanced maternal age was considered as an independent variable and unwanted pregnancy, preeclampsia, preterm birth, cesarean section and low birth weight were considered as interested outcomes. Results: In our study, the prevalence of advanced maternal age was 12.08%. Advanced maternal age was significantly associated with higher risk of unwanted pregnancy (OR: 1.39, 95% CI: 1.12-1.73), preterm birth (OR: 1.75, 95% CI: 1.28- 2.39) and cesarean section (OR: 1.34, 95% CI: 1.03-1.74). In our study, there was no significant relationship between advanced maternal age and preeclampsia but this relationship could be clinically important (OR: 1.48, 95% CI: 0.99-2.20, P=0.052), and there is no significant relationship between advanced maternal age and low birth weight (OR: 1.08, 95% CI: 0.67-1.74, P=0.736). Conclusion: Advanced maternal age is associated with higher risk of unintended pregnancy, preterm birth and cesarean section but our findings did not support advanced maternal age as a risk factor associated with low birth weight.

scholarly journals Efficiency of non-invasive prenatal screening in pregnant women at advanced maternal age

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hui Zhu ◽  
Xiaoxiao Jin ◽  
Yuqing Xu ◽  
Weihua Zhang ◽  
Xiaodan Liu ◽  
...  
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Predictive Value ◽  
Trisomy 21 ◽  
Maternal Age ◽  
Prenatal Screening ◽  
Advanced Maternal Age ◽  
Youden Index ◽  
Non Invasive ◽  
Sensitivity Specificity

Abstract Background Non-invasive prenatal screening (NIPS) is widely used as the alternative choice for pregnant women at high-risk of fetal aneuploidy. However, whether NIPS has a good detective efficiency for pregnant women at advanced maternal age (AMA) has not been fully studied especially in Chinese women. Methods Twenty-nine thousand three hundred forty-three pregnant women at AMA with singleton pregnancy who received NIPS and followed-up were recruited. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV), receiver operating characteristic (ROC) curves and the Youden Index for detecting fetal chromosomal aneuploidies were analyzed. The relationship between maternal age and common fetal chromosomal aneuploidy was observed. Results The sensitivity, specificity, PPV, NPV of NIPS for detecting fetal trisomy 21 were 99.11, 99.96, 90.98, and 100%, respectively. These same parameters for detecting fetal trisomy 18 were 100, 99.94, 67.92, and 100%, respectively. Finally, these parameters for detecting trisomy 13 were 100, 99.96, 27.78, and 100%, respectively. The prevalence of fetal trisomy 21 increased exponentially with maternal age. The high-risk percentage incidence rate of fetal trisomy 21 was significantly higher in the pregnant women at 37 years old or above than that in pregnant women at 35 to 37 years old. (Youden index = 37). Conclusion It is indicated that NIPS is an effective prenatal screening method for pregnant women at AMA.

scholarly journals Experiences and expectations of pregnant women in advanced maternal age with suspected or confirmed fetus malformation.

2018 ◽  
Vol 6 (3) ◽  
pp. 416
Author(s):  
Camila Rebouças Fernandes ◽  
Aline De Carvalho Martins
Keyword(s):  
Pregnant Women ◽  
Maternal Age ◽  
Advanced Maternal Age

O presente estudo tem como objetivo investigar as vivências e as expectativas de mulheres em idade materna avançada, grávidas de bebês com diagnóstico suspeito ou confirmado de malformação. Trata-se de uma pesquisa qualitativa, descritiva e exploratória, realizada entre janeiro e junho de 2016, com análise de conteúdo, na modalidade temática. Foram entrevistadas sete gestantes com 35 anos ou mais, acompanhadas no ambulatório de pré-natal de uma unidade de saúde pública, federal, de referência para risco fetal. Evidenciou-se duas categorias: “O constrangimento de receber e compartilhar a notícia”; e “Receios quanto ao futuro”. Verificou-se que existem tensões das mulheres quanto à aceitação social da criança, incertezas quanto ao futuro profissional e expectativas de sobrecarga nos cuidados com a criança. Conclui-se que estas mulheres devem receber atendimento especializado para tratar estas questões.

scholarly journals Risk factors for mortality in pregnant women with SARS-CoV-2 infection

2020 ◽  
Author(s):  
Raigam J. Martinez-Portilla ◽  
Alexandros Sotiriadis ◽  
Johnatan Torres-Torres ◽  
Chatzakis Christos ◽  
Ameth Hawkins-Villarreal ◽  
...  
Keyword(s):  
Risk Factor ◽  
Pregnant Women ◽  
Maternal Age ◽  
Adverse Outcome ◽  
Advanced Maternal Age ◽  
Middle Income ◽  
Middle Income Countries ◽  
Obesity And Diabetes ◽  
Increased Risk ◽  
Low And Middle Income

Since the first case of pneumonia was described, SARS-CoV-2 infection (coronavirus disease [COVID]-19) rapidly spread worldwide With 94,288 infections and more than 10,000 deaths, Mexico is the third Latin-American country in number of confirmed cases and second in mortality1. A major risk factor for adverse outcome in COVID-19 infection is the presence of advance age, co-morbidities including diabetes, hypertension and obesity among other non-communicable diseases2. Epidemiological data from high-prevalence countries reveal that compared to men, women are less likely to die or to require hospital admission to intensive care. This may suggest that pregnant women are not more susceptible to infection or to experience serious complications. However, whether the presence of co-morbidities or advanced maternal age confers a higher risk of adverse outcome in pregnant women with COVID-19 is unknown3.In this research letter, we aimed at evaluating the risk factor associated with maternal mortality secondary to COVID-19 infection in a middle-income country.Advanced maternal age is linked to an increased risk of mortality, while diabetes is the most important risk factor for maternal death. This is partly explained by an increasing incidence of non-communicable diseases in women of advanced age which is a common feature in most countries4. In the last decades, low- and middle-income countries have experienced accelerated socio-cultural changes associated with its incorporation into the international economic community, which have increased the number of obese and diabetic population, including pregnant women5. This has caused an increased risk for complications and fatality among COVID-19 positive population2,3. Thus, policies for reducing obesity and diabetes in low- and middle-income countries are most needed to reduce the mortality of COVID-19 in pregnant women.

scholarly journals First-Trimester Platelet Count as a Predictive Biomarker for Neonatal Birth Weight Among Pregnant Women at Advanced Maternal Age

2020 ◽  
Vol 26 ◽  
pp. 107602961988690
Author(s):  
You-Fan Peng ◽  
Qiong Wei ◽  
Jin-Fang Sun ◽  
Ling Li
Keyword(s):  
Platelet Count ◽  
Birth Weight ◽  
Pregnant Women ◽  
Maternal Age ◽  
Linear Regression Analysis ◽  
Predictive Biomarker ◽  
Advanced Maternal Age ◽  
First Trimester ◽  
Maternal Body Mass Index ◽  
Neonatal Birth Weight

The aim of this study was to investigate the association between first-trimester platelet count and neonatal birth weight in pregnant woman at advanced maternal age. Our study included 148 pregnancy women of advanced maternal age, the clinical and laboratory materials were retrospective obtained from medical record system. The neonatal birth weight was positively correlated with maternal body mass index and fetus gestational age ( r = 0.332, P < .001; r = 0.469, P < .001), even more interestingly, the neonatal birth weight was positively correlated with first-trimester platelet count in pregnant women of advanced maternal age ( r = 0.203, P = .013). Multiple linear regression analysis revealed that neonatal birth weight had an independently association with first-trimester platelet count in pregnant women of advanced maternal age (multiple-adjusted r values 0.167, P = .013). First-trimester platelet count is positively associated with neonatal birth weight, suggesting that first-trimester platelet count may be a predictive biomarker for neonatal birth weight in pregnant women of advanced maternal age.

scholarly journals Maternal age-specific rates of fetal chromosomal abnormalities in Korean pregnant women of advanced maternal age

2013 ◽  
Vol 56 (3) ◽  
pp. 160 ◽  
Author(s):  
Young Joo Kim ◽  
Jee Eun Lee ◽  
Soo Hyun Kim ◽  
Sung Shin Shim ◽  
Dong Hyun Cha
Keyword(s):  
Pregnant Women ◽  
Maternal Age ◽  
Chromosomal Abnormalities ◽  
Advanced Maternal Age

scholarly journals The Influence of Preeclampsia, Advanced Maternal Age and Maternal Obesity in Neonatal Outcomes Among Women with Gestational Diabetes

2020 ◽  
Vol 42 (10) ◽  
pp. 607-613
Author(s):  
Joana Sousa Nunes ◽  
Rita Ladeiras ◽  
Luísa Machado ◽  
Diana Coelho ◽  
Carla Duarte ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Gestational Diabetes ◽  
Pregnant Women ◽  
Maternal Age ◽  
Low Birthweight ◽  
Maternal Obesity ◽  
Neonatal Morbidity ◽  
Advanced Maternal Age ◽  
Neonatal Outcomes ◽  
Very Low Birthweight

Abstract Objective The present study aims to analyze adverse fetal or neonatal outcomes in women with gestational diabetes, including fetal death, preterm deliveries, birthweight, neonatal morbidity and mortality, as well as the synergic effect of concomitant pregnancy risk factors and poor obstetric outcomes, as advanced maternal age, maternal obesity and pre-eclampsia in their worsening. Methods The present cohort retrospective study included all pregnant women with gestational diabetes, with surveillance and childbirth at the Hospital da Senhora da Oliveira during the years of 2017 and 2018. The data were collected from the medical electronic records registered in health informatic programs Sclinico and Obscare, and statistical simple and multivariate analysis was done using IBM SPSS Statistics. Results The study participants included 301 pregnant women that contributed to 7.36% of the total institution childbirths of the same years, in a total of 300 live births. It was analyzed the influence of pre-eclampsia coexistence in neonatal morbidity (p = 0.004), in the occurrence of newborns of low and very low birthweight (p < 0.01) and in preterm deliveries (p < 0.01). The influence of maternal obesity (p = 0.270; p = 0.992; p = 0.684) and of advanced maternal age in these 3 outcomes was also analyzed (p = 0,806; p = 0.879; p = 0.985).Using a multivariate analysis, the only models with statistic significance to predict the three neonatal outcomes included only pre-eclampsia (p = 0.04; p < 0.01; p < 0.01). Conclusion Only coexistence of pre-eclampsia showed an association with adverse neonatal outcomes (neonatal morbidity, newborns of low and very low birthweight and preterm deliveries) and can be used as a predictor of them in women with gestational diabetes.

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