Pregnancy after 40 years old: prognostic factors for maternal and perinatal adverse outcomes / Gravidez após os 40 anos de idade: análise dos fatores prognósticos para resultados maternos e perinatais diversos

AUTOR(ES)
DATA DE PUBLICAÇÃO

2006

RESUMO

Many women are delaying childbearing until the fourth or fifth decade in life, and it has become a common and worldwide phenomenon. The aim of this study is to evaluate pregnancy outcome in women of 40 or older who were care at our institution. During the period from July 1998 to July 2005 a total of 281 women with advanced maternal age presenting at Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo were studied. The incidence of gestational diabetes and preeclampsia was 14.6% e 19.2%, respectively. Seventeen women had miscarriage (6.0%) and four presented fetal death (1.4%). There were three infants with Down syndrome and six with other anomalies (detection rate of 88.9%). Women presenting preeclampsia were at higher risk for presenting low birthweight. Previous history of hypertension was not a risk factor for preeclampsia. Pregnant women with gestational diabetes or preeclampsia did not carry a higher risk for preterm delivery. Obesity was a significant prognostic factor for gestational diabetes. Nulliparous and single women had higher incidence of fetal anomalies and low Apgar score. Women with very advanced maternal age (>= 45 years old) had higher rate of fetal death and low Apgar score. Prenatal care devoted for women with advanced maternal age allows an early detection and treatment of adverse maternal-fetal outcomes.

ASSUNTO(S)

pre-eclampsia advanced maternal age/complications síndrome de down pré-eclâmpsia advanced maternal age/prognosis diabetes gestacional fetal death down syndrome idade materna igual ou superior a 35 anos/complicações idade materna igual ou superior a 35 anos/prognóstico morte fetal diabetes gestational

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