Advanced Maternal Age

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • No universal definition for advanced maternal age because effects of aging exist as a continuum rather than threshold

  • Generally accepted definition is at least 35 years of age or esti...

DIAGNOSIS

HISTORY

  • As women age, they have increased rates of chronic illness that affect fertility and contribute to obstetrical complications. A careful history should be obtained at initial visit tha...

TREATMENT

GENERAL MEASURES

  • Advanced maternal age has significant increased risks to both mother and fetus (1,2).

  • Women >35 years are at higher risk of

    • Ectopic pregnancy

    • Gestational diabetes

    • Placenta pre...

ONGOING CARE

PATIENT MONITORING

  • Prenatal care for patients of advanced maternal age should follow same course and timeline as for younger women.

  • Closer monitoring or referral to maternal–fetal medicine ...

REFERENCES

Balasch J, Gratacós E. Delayed childbearing: effects of fertility and the outcome of pregnancy. Fetal Diagn Ther.  2011;29(4):263–273.  [View Abstract]
Cleary-Goldman J, Malone FD, Vi...

CODES

ICD10

  • 009.519 Supervision of elderly primigravida, unspecified trimister

  • O09.529 Supervision of elderly multigravida, unspecified trimester

  • 009.511 Supervision of elderly primigravida, first trimes...

CLINICAL PEARLS

  • Advanced maternal age is independently associated with decreased fertility as well as increased obstetric and fetal complications.

  • Although majority of patients of advanced maternal age...

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